Mills-Peninsula Health Services

To Mend a Broken Heart: Sutter Health Starts eCPR Protocol in San Mateo County

Posted on Mar 15, 2019 in Cardiac, Community Benefit, Innovation, Mills-Peninsula Health Services, Scroll Images, Uncategorized

BURLINGAME, Calif. — If you’ve ever watched a televised medical drama, you’ve probably seen a doctor yell “clear” before delivering a jolt of electricity to re-start a patient’s heart. Unfortunately the shows make it seem like the defibrillator works every time. In reality, it doesn’t. Sometimes a faulty heart rhythm won’t return to normal even after multiple shocks, and if the problem is a blocked artery, no amount of shocks will help. In these cases, a patient’s only hope is to receive CPR while they are rushed to a hospital, and once there, receive advanced life support until doctors can repair their heart.

These two life-saving steps form the basis for a new emergency response protocol, called eCPR, which has the potential to decrease deaths from sudden cardiac arrest by 30 percent. Sutter Health affiliated Mills-Peninsula Medical Center is the first hospital on the West Coast to adopt this new protocol, which was proven effective in a 2016 study by Minneapolis-St. Paul area hospitals.

 

‘Hands Free’ Device Performs CPR During Transport

Until recently, it’s been next to impossible to perform effective CPR while in transit. “Our protocol has been to perform CPR at the scene and start transport only if we can stabilize the patient,” said John Kammeyer, Fire Chief, San Mateo Central Fire. Unfortunately many patients never stabilize – and 95 percent of sudden cardiac arrest victims die before they even reach a hospital.

The widespread use of a mechanical CPR device is set to change that. The device, known as LUCAS (Lund University Cardiac Arrest System), continuously delivers the same 2-inch chest compressions that a human hand would during traditional CPR, but the machine makes the process “hands free.” This means that emergency medical technicians (EMTs) can start their drive to the hospital sooner. A LUCAS device is carried on every San Mateo Fire rig that serves the county and two of the LUCAS devices now in the field were donated by Mills-Peninsula Medical Center community benefit.

ECMO Buys Time for Treatment

Once a patient arrives at Mills-Peninsula Medical Center the second life-saving step – advanced life support – comes in. A special machine called ECMO or extracorporeal membrane oxygenation, pumps oxygenated blood through the patient’s body, allowing the heart and lungs to rest while an emergency cardiac procedure is performed.

ECMO can support patients for days to weeks while doctors treat their underlying heart condition and give the heart time to heal. “Historically ECMO has only been used in support of a planned cardiac procedure,” said Joe Walsh, M.D., an interventional cardiologist with Palo Alto Medical Foundation. “Under this new protocol we’re using ECMO on an emergency basis, but time is still of the essence.”  This expanded use of ECMO can only be accomplished if the hospital has trained supportive personnel at the ready – which Mills-Peninsula Medical Center does.

Mills-Peninsula Medical Center launched its ECMO program in 2017 and has treated approximately 25 adults per year with the technology. Dr. Walsh is director of the ECMO Program and has seen first-hand that gallant CPR efforts and rapid use of ECMO can save lives.

Sutter Health a Leading Site Enrolling Patients to the PARTNER 3 Trial for Treatment of Aortic Value Stenosis

Posted on Feb 28, 2019 in Affiliates, Alta Bates Summit Medical Center, California Pacific Medical Center, Cardiac, Eden Medical Center, Innovation, Mills-Peninsula Health Services, Novato Community Hospital, Palo Alto Medical Foundation, Research, Scroll Images, Sutter Davis Hospital, Sutter Gould Medical Foundation, Sutter Medical Center, Sacramento, Sutter Medical Foundation, Transformation

SAN FRANCISCO – Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure done without open-heart surgery to replace a narrowed aortic valve. The procedure is one of several research breakthroughs and interventional cardiology advances being pioneered at Sutter Health through the research of David Daniels, MD, an interventional cardiologist at Mills-Peninsula Medical Center and California Pacific Medical Center who directs Sutter’s Structural Heart Program, and collaborators across Sutter.

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A Focus on STRIVE: Sutter Health Leads its Largest-enrolling Clinical Trial to Date

Posted on Feb 20, 2019 in Alta Bates Summit Medical Center, California Pacific Medical Center, Eden Medical Center, Innovation, Mills-Peninsula Health Services, Novato Community Hospital, Palo Alto Medical Foundation, Research, Scroll Images, Sutter East Bay Medical Foundation, Transformation

SAN FRANCISCO – Several Sutter Health sites participated in STRIVE, a study that is evaluating a new tool for the detection of early-stage breast cancer. Begun in 2017 and now closed to enrollment, the study recruited the highest number of Sutter patients of any trials to date, regardless of therapeutic area.

The multicenter study will evaluate a new blood test potentially complementary to mammography for early detection of breast cancer. The test is being developed by GRAIL, Inc., and the study recruited women at mammography centers across Sutter Health and the Mayo Clinic.

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Racing Against Time, Mobile Stroke Unit Treats First Stroke Patient

Posted on Feb 11, 2019 in Expanding Access, Innovation, Mills-Peninsula Health Services, Scroll Images, Women's Services

The Sutter Health Mobile Stroke Unit team got the call they had been preparing for and raced into action.

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Providing new treatment options to patients with advanced cancers: Sutter participates in innovative TAPUR™ study

Posted on Feb 11, 2019 in Affiliates, Alta Bates Summit Medical Center, California Pacific Medical Center, Eden Medical Center, Innovation, Memorial Hospital, Los Banos, Memorial Medical Center, Mills-Peninsula Health Services, Research, Scroll Images, Sutter Gould Medical Foundation, Sutter Lakeside Hospital, Sutter Maternity and Surgery Center, Santa Cruz, Sutter Medical Foundation, Sutter Roseville Medical Center, Transformation

SAN FRANCISCO – Sutter Health is enrolling patients to the Targeted Agent and Profiling Utilization (TAPUR™) study, a national, prospective, non-randomized clinical trial determining the safety and efficacy of approved, targeted anticancer drugs.

 

 

 

 

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