Ekg criteria for stemi
[PDF File]Policy and Procedure Title: Initial Management of STEMI ...
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ST ELEVATION MYOCARDIAL INFARCTIONS (STEMI) TRIAGE GUIDELINE vi. If Fibrinolysis is contraindicated in the patient. b. Transportation to the closest hospital shall be considered when one or more of the of the following are present: i The patient’s airway cannot be managed ii The patient is in cardiac arrest without ROSC iii.
[PDF File]Ohio State’s Ross Heart Hospital ACS MINIMUM DISCHARGE ...
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Early Diagnosis and Treatment of STEMI Use and Impact of Pre-Hospital Electrocardiogram John Coletta, M.D., F.A.C.C. Disclosures • None Case • 75 yo called EMS for chest pain – Onset of pain less than 1hr – Upon EMS arrival ppyyatient was hemod ynamically stable. – Patient was administered ASA 325mg and oxygen – Pre-hospital ECG was ...
[PDF File]Early Diagnosis and Treatment of STEMI
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Time RN Initiation of STEMI Thrombolytic Order Set 1. 12 lead EKG upon arrival and apply cardiac monitor 2. If patient meets criteria, call transport service 3. Review Inclusion/exclusion criteria for STEMI thrombolytics 4. Contact Medical Access Center to activate STEMI and assist with transport 5. Start (2) Saline IV locks 6.
Performance of Emergency Department Screening Criteria for ...
STEMI ALERT POCKET REFERENCE STEMI hotline: 6-8111 STEMI EKG Criteria: One of the following: • > 1mm ST segment elevation in two or more contiguous limb leads • > 2mm ST segment elevation in two or more contiguous precordial leads • New Left Bundle Branch Block (LBBB) • Isolated Posterior MI with ST depression in V2-3
Diagnosis of STEMI including ECG tracings, findings and examples …
ECG in STEMI • Definition of STEMI –New ST elevation at the J point in two contiguous leads of >0.1 mV in all leads other than leads V2-V3 –For leads V2-V3 the following cut points apply: ≥0.2 mV in men ≥40 years, ≥0.25 mV in men
[PDF File]STEMI PATIENTS GUIDELINES for MANAGEMENT
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Obtain EKG within 10 minutes of first contact If patient meets the previous slide’s STEMI criteria: Contact OLMC at receiving hospital (local hospital notification) and alert the receiving facility of impending arrival If the patient meets one of the previous condition sets for STEMI inclusion criteria:
[PDF File]STEMI PROTOCOL – THROMBOLYTIC ORDERS
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STEMI PATIENTS GUIDELINES for MANAGEMENT PURPOSE: To facilitate the rapid and efficient treatment of patients experiencing an ST Elevation Myocardial Infarction (STEMI) with Percutaneous Coronary Intervention (PCI). BACKGROUND: LSUHSC-Shreveport has declared itself as a primary PCI facility in the treatment of patients experiencing a STEMI.
[PDF File]EKG in STEMI
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STEMI care, failure to identify candidates for an early ECG during ED intake processes subjects patients to diagnostic and potential treatment delay.1–3 Patients eventually diag-nosed with STEMI present with a wide spectrum of symptoms. STEMI screening criteria are preestablished algorithms using a patient’s arrival information.
[PDF File]ECG in STEMI - American Heart Association
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STEMI –EKG CRITERIA •Diagnostic elevation (in absence of LVH and LBBB) defined as: - New ST elevation at J point in at least 2 contiguous leads -in leads V2-V3, men >2mm, women > 1.5mm -in other chest leads or limb leads, > 1mm
[PDF File]PREPRE-HOSPITAL HOSPITAL STEMI ACTIVATION
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Polices and Procedures – Initial Management of Non-ED STEMI Alert – Page 2 PROCEDURE: When the 12 Lead ECG of any patient demonstrates ST Segment Elevation and/or the ECG computerized printout indicates “Acute Myocardial Infarction / Injury,” the patient’s PRIMARY RN will
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