20 Shifts Protocol Quiz - Cardiac Transport

Lake EMS Protocol for Acute Coronary Syndrome Patients

• Lake Emergency Dispatch in Tavares receives and dispatches all EMS and fire department calls in Lake County using Enhanced 911.
• Dispatchers obtain information about the emergency, patient's illness, age, and medication history, and use the Aspirin Diagnostic & Instruction Tool for chest pain patients.
• The closest available unit (fire department, ambulance, or EMS vehicle) is dispatched to the scene to provide first responder or paramedic care.
• ACS patients are identified based on typical ischemic chest pain, atypical pain or anginal equivalents, and high-risk factors such as age, diabetes, or coronary artery disease.
• Crews should transmit 12 Lead EKGs to the hospital when there is an abnormality or physician interpretation is required within 10 minutes of the first STEMI positive tracing.
• ACS includes Unstable Angina, Non-ST-Elevation MI, and ST-Elevation MI, with STEMI being the most severe.
• Paramedics assess patients using specific criteria to classify them as STEMI ALERT, including ACS signs/symptoms and ST segment elevation in 2 or more contiguous leads or Left Bundle Branch block.
• Threshold values for ST segment elevation are higher for men and lower for women, and all other leads must have 1.0 mm of elevation.
• For suspected acute MI patients, paramedics contact the receiving hospital early and transmit the 12 lead EKG, and transport the patient to the nearest PCI center if they meet the STEMI ALERT criteria.
• Unstable patients can be transported to the closest receiving facility, and aeromedical transport is an option if the ground transport time is greater than 45 minutes and air support response time is less than 30 minutes.
• ICE ALERT is initiated upon successful ROSC, and paramedics transport patients to the nearest PCI capable hospital listed in the Lake EMS Clinical Care Guidelines.
• The list of PCI centers includes hospitals in Deland, Orlando, Daytona Beach, Tavares, Zephyrhills, Sanford, Inverness, Ocoee, Lakeland, Leesburg, Ocala, Kissimmee, Clermont, and Villages.

Lake EMS Protocol for Acute Coronary Syndrome Patients

• Lake Emergency Dispatch in Tavares receives and dispatches all EMS and fire department calls in Lake County using Enhanced 911.
• Dispatchers obtain information about the emergency, patient's illness, age, and medication history, and use the Aspirin Diagnostic & Instruction Tool for chest pain patients.
• The closest available unit (fire department, ambulance, or EMS vehicle) is dispatched to the scene to provide first responder or paramedic care.
• ACS patients are identified based on typical ischemic chest pain, atypical pain or anginal equivalents, and high-risk factors such as age, diabetes, or coronary artery disease.
• Crews should transmit 12 Lead EKGs to the hospital when there is an abnormality or physician interpretation is required within 10 minutes of the first STEMI positive tracing.
• ACS includes Unstable Angina, Non-ST-Elevation MI, and ST-Elevation MI, with STEMI being the most severe.
• Paramedics assess patients using specific criteria to classify them as STEMI ALERT, including ACS signs/symptoms and ST segment elevation in 2 or more contiguous leads or Left Bundle Branch block.
• Threshold values for ST segment elevation are higher for men and lower for women, and all other leads must have 1.0 mm of elevation.
• For suspected acute MI patients, paramedics contact the receiving hospital early and transmit the 12 lead EKG, and transport the patient to the nearest PCI center if they meet the STEMI ALERT criteria.
• Unstable patients can be transported to the closest receiving facility, and aeromedical transport is an option if the ground transport time is greater than 45 minutes and air support response time is less than 30 minutes.
• ICE ALERT is initiated upon successful ROSC, and paramedics transport patients to the nearest PCI capable hospital listed in the Lake EMS Clinical Care Guidelines.
• The list of PCI centers includes hospitals in Deland, Orlando, Daytona Beach, Tavares, Zephyrhills, Sanford, Inverness, Ocoee, Lakeland, Leesburg, Ocala, Kissimmee, Clermont, and Villages.