Much like a Trauma criteria patient can be taken directly to a trauma center, a known STEMI patient should be be transported directly to a STEMI Receiving Center. Our STEMI Receiving Centers include VBGH, SLH and CGH.
If you perform a 12-lead and your patient indicates a STEMI, you do not have to contact a closer facility if they are not a STEMI center unless you have a truly unstable patient and need to consult with that facility for direction.
If you have a questionable case that could be a STEMI (patient has strong symptoms but the 12 lead is ambiguous) transmit your 12 lead early and call the closer facility early. This consultation should be made before leaving the scene so you know which direction to head and the doctor has time to review the 12 lead. If there are any changes in patient status, always notify the facility that is expecting you.
Remember to always transmit your 12 leads and send them early (with a quick follow up call) so they can activate the STEMI alert as early as possible!
STEMI goals for the region and via AHA include the following:
- First Medical Contact (FMC) to 12 lead: 10 minutes or less
- Ambulance onscene time: no longer than 15 min
- FMC to balloon: 90 min or less.
- This includes EMS, ED and cath lab time which is why early activation of the STEMI alert is important. Time is muscle!
Please visit the TEMS site and review the Tidewater EMS Regional STEMI plan for lots of information and definitions at : http://tidewater.vaems.org/performance-improve-mainmenu-112/tems-triage-plans/stemi-triage-plan/file