PPT-STEMI: If candidate for reperfusion then needs FMC (first medical contact) within 90

mins If FMC not PCI capable transfer to facility lt 120 mins Definition Acute myocardial ischemia andor infarct due to an abrupt reduction in coronary blood flow Occurs when there is an imbalance of myocardial oxygen consumption and demand . Tom P Stys, FACC, MD. Medical Director. Sanford Cardiology. ACS and Rural Hospitals. 4897 community hospitals in the United States. 1. 2900 are located in urban areas. 1. 1997 are located in rural areas. Hospital. May 3, 2014. Sheila M Conley, BSN RN. Quality Improvement Associate – Clinical Cardiology. Cardiac Disease in Women:. How One . T. hing Can . L. ead to Another. Basics of normal circulation. Michael C Fraizer, MD. Iowa Heart Center. Feb 4, 2017. Disclosures. AstraZeneca. Mount Sinai Heart. St. Jude Medical. Yale University School of Medicine. Employee-Iowa Heart . Center/Mercy-Des Moines. 0. Cookeville Regional Medical Center . STEMI program. (What we do well and our challenges). Commercial Interest (None) . “No relevant financial relationship(s) exist.”. Brenda Davis-Bryant RN. February 7,2013. Purpose of ACTION Registry-GWTG. National surveillance system for high-risk AMI patients admitted with STEMI/NSTEMI:. Assess characteristics, treatments, and outcomes of this patient population. Central Iowa EMS Directors STEMI Task Force is striving to improve the patient outcomes of ST elevation myocardial infarctions. . . Current members. Central . Iowa EMS Directors . Association . Methodist University Hospital. 2015 Annual Tennessee STEMI Meeting. October, 2, 2015. Objectives. . Recognize the alignment of structure with. . AHA Mission: Lifeline. Identify the focuses within the roles of . October 2018. Endorsed by the Canadian Association . of Emergency Physicians (CAEP). 2018 STEMI Guideline Authors. Graham C. Wong MD MPH (Co-Chair), Michelle Welsford MD, Craig Ainsworth MD, Wael Abuzeid MD MSc, Christopher Fordyce MDCM MHS MSc, Jennifer Greene BSc ACP, Thao Huynh MD MSc PhD, Laurie Lambert PhD, Michel Le May MD, Sohrab Lutchmedial MDCM, Shamir Mehta MD MSc, Madhu Natarajan MD MSc, Colleen Norris RN, MN, PhD, Christopher Overgaard MD MSc, Michele Perry . Eva Kline-Rogers, MS,RN,NP. University of Michigan, Ann Arbor, MI. Friday, June 3, 3011. No Conflict of Interest to Disclose. Hospitalizations in the U.S. Due to Acute Coronary Syndromes (ACS). Acute Coronary Syndromes*. The Door to Unload (DTU) STEMI Safety & Feasibility Pilot Trial Navin K. Kapur, MD FAHA, FACC, FSCAI On Behalf of the DTU-STEMI Investigators 2018 American Heart Association Late Breaking Clinical Science EDOSG National STEMI Initiatives In Partnership with the HSR-DCC Maame Yaa A. B. Yiadom, MD, MPH, MSCI 62 Emergency Departments 15% do not have formal STEMI screening 14% use “chest pain” as the Content. Fibrinolytic agents. Clinical studies. Metalyse. ®. prescribing information. STEMI networks. Importance of time. Treatment strategies & guidelines. Registries. Take home points. Importance of time. BANKERS HEART INSTITUTE , VADODRA . . PRIMARY ANGIOPLASTY . HYPERTENSION. DIABETES MELLUTUS . SMOKING . OBESITY . LACK OF EXERCISE . DYSLIPIDAEMIA . RISK FACTORS FOR CAD . CORONARY ARTERY DISEASE. NON- ST ELEVATION. STEMI reperfusion – an unmet need in many regions. Improving access to STEMI reperfusion. Definition and structure of a STEMI network. STEMI networks in practice. Table of contents. 2. Establish evidence-based, streamlined guidance on the purpose and practicality of establishing and running a STEMI network.