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

Auxiliary Forms

These forms may easily be tailored to facilitate specific processes within the STEMI care continuum. Contact us at for customizable Word templates.

Criteria for ED Activation of the Cath Lab (.pdf)
This is an easily adapted checklist for use in PCI institutions that utilize Emergency Department (ED) physician activation of the cath lab.
Thrombolytics Guide Sheet (.pdf)
Provides a quick access guide for helping the ED physician at non-PCI institutions assess a potential thrombolytic-eligible patient for reperfusion.
EMS Guide Sheet (.pdf)
Provides information and guidance for EMS providers, integrating them into the STEMI treatment pathway.
Cath Lab Checklist (.pdf)
Standardizing the sequence of key events necessary for consistent cath lab performance is a key to top-notch reperfusion times -- particularly on nights and weekends! This form can be easily customized to any cath lab.