|Goal:||To identify patients with active ST segment elevation MI as early as possible and to allow pre-hospital activation of the Cath Lab
To qualify for EMS STEMI Alert the patient must have ALL of the following:
|ECG machine diagnosis of “Acute MI” can be considered as supportive of a STEMI. However, a computer interpretation of “Acute MI” is NOT required to declare a STEMI alert. Furthermore, even with a computer interpretation of “Acute MI” the above criteria must be fulfilled.
|Action:||If the criteria above are met, the paramedic will instruct CMED they have a
“STEMI Alert”, request they notify the receiving hospital from the bedside as early as possible. Once transporting patch as early as possible and request a STEMI alert again. If unsure the criteria has been met contact Medical Control for Guidance. Receiving hospitals will make every effort to give a room assignment at the time of patch. The hospital STEMI team will be activated at the time of the EMS patch. EMS crew should treat the patient based on existing protocols, and be ready to present 12 lead ECG to RN or MD immediately on arrival.
This protocol is being enacted 24 hours a day, 7 days a week
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