Project UPSTART: the Use of Procedural Standardization to Reduce Recognition to Repferfusion (R2R) Time in ST-Elevation Myocardial Infarction (STEMI)

About Project UPSTART

See the following documents for a more detailed overview of Project UPSTART:

Project UPSTART is a quality improvement project developed at the University of Virginia to help achieve better outcomes in the treatment of heart attacks by minimizing the time to reperfusion in ST-Elevation Myocardial Infarction (STEMI). Designed to improve the entire continuum of STEMI care -- from pre-hospital ECG through final reperfusion therapy -- Project UPSTART is a systematic and practical approach developed by emergency providers for emergency providers. Project UPSTART is basically a "reperfusion toolkit": a set of interlinked processes, forms, ideas, and educational materials carefully developed to help emergency providers perfect the basics.

Project UPSTART provides an adaptable and proven approach that can be used by hospitals regardless of whether they utilize on-site PCI, thrombolysis, inter-facility transfer, or a combination of strategies. The general Project UPSTART approach can be easily customized to meet the specific needs of individual sites. On this website, we offer basic training and other resources for emergency providers, staff, and physicians. We also offer a wide range of materials to assist institutions through every step of the program. Project UPSTART is being offered at no cost and no obligation to hospitals and emergency care providers. Please read through the material on this website or write to us at or for more information. We look forward to working with you.


David R. Burt, M.D.
Assistant Professor
University of Virginia
Department of Emergency Medicine
Phone: 434.924.2428