Stemi treatment guidelines 2019

    • [DOC File]ST Elevation Myocardial Infarction Pathway

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_fd2869.html

      A STEMI requires prompt restoration of blood flow to the affected area of heart muscle by either primary percutaneous coronary intervention (PCI) or fibrinolytic therapy. Prompt reperfusion minimises the likelihood of death or long-term disability in STEMI patients. This Standard Operating Procedure (SOP) describes for staff the process to

    • [DOCX File]Vasopressors and Inotropes in Shock 2019

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_6ccb93.html

      The 2004 ACC/AHA guidelines for ST-elevation myocardial infarction (STEMI) recommended the selection of vasopressor and/or inotrope therapy based on SBP plus the presence or absence of signs and symptoms of shock (6). For patients with an SBP of 70-100 mmHg, dobutamine was recommended in the absence of shock and dopamine if shock was present.

    • [DOCX File]file.lacounty.gov

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_d52963.html

      Outline the Los Angeles County Treatment Protocol 1220, Burns for the management of burn patients. Describe correct resuscitation guidelines and procedures for managing burns. Discuss common complications in burn patients (airway management, CO poisoning, cyanide exposure, dehydration)

    • [DOCX File]Los Angeles County, California

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_a488e9.html

      Describe correct resuscitation guidelines and procedures for managing hypoglycemia. Discuss common complications in hypoglycemia and risk for recurrent episodes. Discuss the Los Angeles County policy on Patient Refusal of Treatment or Transport, Ref. No. 834. ECG of the Month – Software STEMI

    • [DOC File]Post Cardiac Arrest Induced Hypothermia Protocol

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_b5f167.html

      STEMI: consider TNK / Heparin / PCI / ASA. STOP. EXCLUSION CRITERIA . Prolonged arrest time longer than 60 minutes or down time without BLS longer than 10 minutes. Age less than 18 years. Pregnancy. Uncontrolled bleeding, thrombocytopenia or other coagulopathy. DNR or DNI status. Severely impaired pre-arrest cognitive status

    • [DOCX File]EM-SERC Sim Template - EM Sim Cases

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_0f76b1.html

      Denise is a 59-year-old female who presents with a 7-day history of urinary symptoms, fever, and started with left flank pain. She has a history of STEMI 5 years ago. She then becomes unstable requiring fluid resuscitation, vasopressors, and empiric antibiotic treatment.

    • [DOCX File]SAq162.html - Safety and Quality

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_e84c04.html

      Ensure systems and processes are in place for clinicians to offer primary PCI or fibrinolysis to all eligible patients diagnosed with an acute STEMI within the time frames recommended in the current National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the Management of Acute Coronary Syndromes.1

    • [DOCX File]EAEMS Regional STEMI Plan: Rationale

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_034bd6.html

      ST Elevation Myocardial Infarction (STEMI) patients should be recognized as quickly as possible to identify those eligible for thrombolytic or invasive therapy. Copious data have shown that both morbidity and mortality can be optimized by an approach of rapid interventional reperfusion targeted to within ninety minutes of hospital arrival.

    • [DOCX File]EM-SERC Sim Template

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_6fd03d.html

      General concepts in the initial management of the STEMI patient (consider differential, supportive treatment, antiplatelet, anticoagulation, PCI, lytics) Discussion of analgesia in STEMI – role of opioids, nitroglycerin (especially which STEMIs need to be cautious with NTG)

    • [DOCX File]Home :: Washington State Department of Health

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_213aa2.html

      DOH 346-062 December 2019. ... (STEMI), non-STEMI, and unstable angina. cardiac arrest, and stroke patients. The goal of the system is improve patient outcomes by reducing time to treatment and getting patients into a dedicated system of comprehensive care. ... Stroke Treatment Guidelines. Guidelines for the Early Management of Acute Ischemic ...

    • [DOCX File]Acknowledgements

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_6069dc.html

      The PCOR-Vic has had a significant impact on treatment variation and outcomes. For example, it identified that a major hospital was a significant outlier in terms of its positive surgical margin rate (cancer cells left behind after surgery). This led to higher levels of cancer recurrence, additional treatment and costs.

    • [DOCX File]Washington State University

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_cd9e82.html

      – ST-segment elevation myocardial infarctions (STEMIs) require rapid medical treatment. At Adventist, the policies, procedures, and electronic order sets failed to reflect best practices for STEMIs set by national guidelines. This resulted in delayed reperfusion for STEMI patients and low staff confidence in STEMI care procedures. Project purpose

    • [DOCX File]Stroke Level II Application

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_aa3827.html

      Acute coronary syndrome includes ST elevation myocardial infarction (STEMI), non-STEMI, and unstable angina. cardiac arrest, and stroke patients. The goal of the system is improve patient outcomes by reducing time to treatment and getting patients into a dedicated system of comprehensive care.

    • [DOCX File]CMS Outpatient Measures (Domain: Outpatient)

      https://info.5y1.org/stemi-treatment-guidelines-2019_1_5edb3d.html

      National guidelines recommend fibrinolytic therapy within 30 minutes of hospital arrival for patients with STEMI. OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention Early use of primary angioplasty in patients w/ STEMI results in a significant reduction in mortality & morbidity.

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