Time is Muscle
10 minutes
What is door to 12 lead EKG time?
Labs needed for a STEMI patient
What is a CBC, CMP, coags, and a troponin?
Number of IVs needed in a STEMI patient
What is two?
These patients develop silent MIs
Who are females, diabetics, elderly?
This is the mechanism of action of nitroglycerin in ACS/CP/STEMI.
What is vasodilation to improve the heart's workload?
door to STEMI alert time metric
What is 10 minutes or less?
Troponin tube color, BMP/CMP tube color
What is a green top?
Prepping a STEMI patient for the cath lab
What is shave prep the groin/wrist areas, 2 IVs, clothes off and bagged, gown on?
Data for STEMI patients is found here
These are 3 contraindications to nitroglycerin.
What are allergy, SBP < 100, use of erectile dysfunction drugs?
Door in to door out time for transfer from FH ED or LH ED to WH cath lab
What is 30 minutes?
This test is done to look for other causes of STEMI symptoms and to check for cardiomegaly
What is a chest x-ray?
Who now calls Mutual Aid for transport from FH or LH ED to cath lab
What is the staff at FH or LH EDs?
This hospital is a PHAC hospital
What is WH?
This is the mechanism of action of Morphine in ACS/STEMI/CP.
What is vasodilation, blunting the SNS response to decrease the heart's workload and oxygen demand?
First medical contact to device placement time
What is 90 minutes or less?
This is done to watch for arrhythmias and deterioration in a STEMI patient
What is Cardiac monitoring?
This is called for an ED hold patient with chest pain.
What is call a RRT?
This is how often you should print and interpret a strip
What is on admission to ED, every 8 hours, with changes, and with transfers or admission?
This is how often a patient's pain must be reassessed after nitroglycerin.
What is every 5 minutes after administration?
Time metric for door to Tenecteplase (thrombolytic) time if needed
What is 30 minutes or less?
True/false. EMS can send a 12 lead to the EDs.
What is true?
These ED staff can activate the cath lab for a STEMI alert.
This equipment has needed medications and IV supplies to help a STEMI patient
What is the STEMI box?
This is when pain should be reassessed after IV Morphine in CS/CP/STEMI.
What is 15 minutes after administration?