Review of acute hospital services in the Mid - Health Service Executive

Review of acute hospital services in HSE Mid-West
An action plan for acute and community services
Using ‘real time’ telemetry, Cathal’s condition, his pulse, blood pressure, ECG and pulse oximetry, are
already being monitored by the duty team in the CCU. His condition is regarded as stable, but he is
still hypotensive. The ECG confirms an infarct. The AP starts thrombolysis after confirming that Cathal
meets the criteria for treatment.
Fours hours later, Cathal is in the cardiac catheter laboratory. The duty cardiologist inserts a coronary
artery stent across the blockage to restore the circulation. This results in immediate improvement in
Cathal’s cardiac status and he is admitted to the CCU for close monitoring.
Three days later, Cathal is discharged into the care of the cardiac rehabilitation service, an outreach
programme delivered at his local centre. He may not be able to find the solution to his business
worries, but he knows his heart is being well looked after. Time to learn from the experience.
In the next section we look at developing the implementation plan to deliver the new model of
care within the HSE Mid-West.
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