STEMI Bypass

Question 1

Indications under the STEMI Hospital Bypass Protocol

Answer 1

1. 18+ years of age.
2. Chest pain or equivalent consistent with cardiac ischemia/myocardial infarction.
3. Time from onset of current episode of pain <12 hours.
4. 12-lead ECG indicates an acute AMI/STEMI

Question 2

Contraindications under the STEMI Hospital Bypass Protocol

Answer 2

1. CTAS 1 and the paramedic is unable to secure patient’s airway or ventilate.
2. STEMI imitator (BBB, ventricular paced, pericarditis, or any other STEMI imitator)
3. Transport more than 60mins away
4. Respiratory distress or CPAP use
5. Hemodynamic insatiably or SBP <90
6. VSA without ROSC