H
484-526-1128
What is the number to contact PAC
This portion in EPIC should be opened on all MI alerts as soon as it is identified.
What is the STEMI Narrator?
The process to get an inpatient hold with chest pain seen promptly.
What is RRT?
This person is responsible to contact PAC when STEMI criteria is met.
Who is the ED provider?
8 minutes
What is the goal for arrival to initial ECG?
This chest pain is predictable, demand led, and occurs over a long period of time. There is typically fixed stenosis like a stable fibrous plaque.
What is stable angina?
This complete and persistent block of a coronary artery is life threatening, requiring intervention.
What is STEMI or Type 1 MI: STEMI?
0-2-4
What is the serial ECG/troponin schedule?
These are leads that show electrical activity at adjoining areas of cardiac tissue.
What are contiguous leads?
Undressing, shaving, putting on the life pack, packaging belongings, vitals, lab draws and ECG.
What are tasks the PCT can assist with during a STEMI alert?
Pericarditis, coronary vasospasm and left ventricular hypertrophy.
What are other potential causes for ST elevation?
Chest pain, shortness of breath, arm/back/neck pain, nausea, vomiting, dizziness.
What are the classic signs of a heart attack?
Monitor/Defibrillator, 2 IVs, IV fluids, Oxygen, belongings, MI folder and a provider.
What are some items that are needed to transport to cath lab?
Fatigue, reflux, flu- like symptoms.
What are the possible symptoms of a heart attack for females in addition to the classic signs and symptoms?
This portion of the MI alert policy should be followed when there is an expected delay to reperfusion.
What is Fibrinolytics for anticipated delay to PCI?
Unstable Angina, STEMI and NSTEMI.
What are the 3 traditional types of Acute Coronary Syndromes?
This lab has allowed us to better risk stratify a patient with ACS symptoms and only keep those that have the highest risk.
What is the high sensitivity troponin?
This tool is for predicting the 6 week risk of a major adverse cardiac event in a patient with chest pain or other ACS symptoms. It is performed by the ED provider.
What is the HEART score?
While it can still be life threatening, this type of MI is typically less damaging to the heart and does not produce distinct ECG wave elevations.
What is NSTEMI or Type 1 MI: NSTEMI.
This calculator estimates a 30 day all-cause mortality percentage for patients with Unstable Angina and NSTEMI based on 7 clinical factors. It is completed by the Inpatient Provider.
What is the TIMI score?
60 minutes
What is the time required by accreditation standards for patient arrival to initial troponin result?
This dangerous type of chest pain is typically severe, lasting longer than 20 minutes, is SUPPLY led and does not go away with rest and typical treatment medications. Blood flow is restricted, sometimes by spasms.
What is unstable angina?
20 minutes.
What is when you should be ready to leave the ED after a STEMI activation?
Picture Daily Double!
This type of ECG is recommended in patients with inferior infarcts, where right ventricle infarct is suspected. It can also be useful in dextrocardia and some congenital heart disease.
What is a right sided ECG?
STEMI criteria met-->ED provider calls PAC for MI alert-->ED provider sends a picture to the Interventional Cardiologist-->PAC connects ED provider with IC-->If criteria is met, PAC will notify the Emergency Operator to activate the on call cath team.
What is the MI alert process/Steps to activate MI alert?