An indication for the STEMI bypass protocol (4a) is at least 2mm ST-elevation in leads V1-V3 in at least 2 anatomically contiguous leads OR at least 1mm ST-elevation in at least 2 other anatomically contiguous leads (4b.) I was taught to look for at least 2mm ST-elevation in leads V1-V6, and at least 1mm in the other leads.
New 2017 STEMI bypass - In the RPPEO 2014 Powerpoint it states a STEMI must be recognized prior to a patient going VSA and subsequent ROSC in order to be considered for bypass. It does state "Pending Final Approval." The EHSB document states a contraindication is VSA without a ROSC but doesn't specifically state in the standard a STEMI must be identified before. Example would be patient goes VSA, is resuscitated and is now conscious complaining of chest pain, 12 lead indicates STEMI positive
Can you clarify the expectation for the following situation: an ACP crew is doing an inter-facility transfer of a stable patient who has a central line (say an IJC) which is capped off/not actively running. The sending facility staff inquire if they have to send an escort due to the non-running central line. What would the answer be?
Can you clarify the expectation for the same patient, however the facility staff wants the line to be maintained TKVO?
I was under the impression the cardiac monitor needed to be on prior to any medication administration however, some colleagues say that this is false as it only needs to be on sometime during the call. What is the Base Hospital position on this?
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