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

Training Tutorial 1.1

The Project UPSTART Provider Education Tutorial

As you proceed, always remember two important principles of STEMI care:

  • In acute heart attack, “Time = Muscle”
  • Without early recognition, there can be no progression to early reperfusion.

Keeping in mind these two basic statements will help you understand the true value of seemingly simple actions and ideas that at first glance may not seem important. Optimizing STEMI management in the emergency setting has much less to do about finding “exactly the right treatment” than it does about “just doing all the small things exactly right!”

This module explains in detail specific actions and processes that are essential for success. Sustaining success is ultimately dependent on a systematic approach, not on individual provider excellence or good luck. Every action or idea included in the process is important and therefore cannot be neglected without sacrificing your effectiveness.

Remember: Each action we discuss is important to success; even if the reason is not immediately obvious!

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