EMS Equipment Upgrades

EquipmentScotland County EMS has six new Medtronic Physio-Control Lifepak 15 defibrillators and one older model Lifepak 12.  These machines come ready to monitor, defibrillate, or pace patients experiencing chest pain or cardiac events. The units can also be used in the AED (Automated External Defibrillator) mode which has the capability to tell its operator when to shock, when to administer CPR, and when to check for a pulse. The Lifepak 15 also has the ability to transmit EKG information directly to Scotland Memorial Hospital's Emergency Department through the use of cellular telephones. The Lifepak 12 units, though still used widely throughout the county, are no longer in production.  They have been replaced by the newer Lifepak 15 units which have enhanced technological advantages and have proven to be more durable in field operations.  Scotland County EMS begin a replacement cycle to upgrade to the newer Lifepak 15 models. Budget constraints limited the availability of capital to only replacing two of the older Lifepak 12 units in the 2012 budget year. Funding was approved to replace two more units in the 2013 budget year. The final two new Lifepak 15 units were replaced in the 2014 budget.   Scotland Memorial Hospital has also purchased equipment that will allow the transmission of the 12 lead data obtained by the both the LifepaK 12s and 15s directly toLifepak 15 the hospital emergency department from the scene of a cardiac event.  Moore Regional Hospital will soon have that same capability.  Scotland County EMS units that respond to a patient who is experiencing a life threatening cardiac event will not only be able to transport that patient directly to a cath lab for immediate treatment, but will also be able to provide important 12 lead information to the receiving hospital 30 minutes before the patient arrives at their doors.             

The RACE Program

      Scotland County EMS is now actively participating the RACE program. This program was initiated in North Carolina to improved the patient outcome for individuals who experience a blood vessel blockage within the heart that could result in heart muscle damage and possible death. RACE was originally an acronym for Re-perfusion of Acute Myocardial Infarction in Carolina Emergency Departments.   It has been modified to Regional Approach to Cardiovascular Emergencies to reflect a better picture of the overall mission of the program.  From an EMS perspective, the RACE program allows paramedics in the field to transport a patient, who meets the RACE criteria, directly to a medical facility that has the capability to treat the patient for the blockage immediately, thereby reducing the potential damage to the heart and lessening the threat of the patient's death.  Scotland County EMS now transports patients that meet the STEMI protocol within the RACE program criteria directly to the Reid Heart Center, which is part of FirstHealth system at Moore Regional Hospital in PineHurst, N.C., and the nearest facility of it's kind to Scotland County. The program has provided a vast improvement in timely delivery of care to cardiovascular patients.