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

Training Tutorial 1.8

The STEMI ALERT Packet: The Trigger for Reperfusion

Once a patient is diagnosed with a STEMI, the clock starts ticking, right? Delay equals cell death and every minute counts. However, the ED is such a busy place – how do you instantly shift focus from everyone (all your other patients) to one (your newly diagnosed STEMI patient)? Not only that, but then how do you remember to do all the right things in the right order? Now that’s pressure!

To help solve this problem, a STEMI ALERT PACKET has been developed for your hospital. It contains all the information necessary to treat STEMI patients at your facility as efficiently and effectively as possible. What exactly does it contain? …Whatever works best at your facility! The STEMI ALERT Packet is your trigger for reperfusion. When a STEMI is recognized, someone (anyone) should immediately open a STEMI alert packet and pass out the enclosed forms.

Please review figure 7 for a view of a typical STEMI ALERT Packet. Yours will look very similar. STEMI ALERT Packets will be placed in one or more easily identified locations in your ED. Do you know where they are in your facility?

Remember: Whenever a STEMI is recognized, open the red packet – your “trigger” for reperfusion!

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