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Questions and Answers
Questions and Answers
What is the purpose of the Aspirin Diagnostic & Instruction Tool used by Lake Emergency Dispatch?
What is the purpose of the Aspirin Diagnostic & Instruction Tool used by Lake Emergency Dispatch?
- To transmit 12 Lead EKGs to the hospital
- To provide first responder care
- To identify ACS patients (correct)
- To initiate ICE ALERT
What are the three types of ACS identified in the Lake EMS Protocol?
What are the three types of ACS identified in the Lake EMS Protocol?
- STEMI, NSTEMI, and Unstable Angina (correct)
- STEMI, NSTEMI, and ICE ALERT
- STEMI, STEMI ALERT, and ICE ALERT
- NSTEMI, STEMI ALERT, and ICE ALERT
What criteria do paramedics use to classify patients as STEMI ALERT?
What criteria do paramedics use to classify patients as STEMI ALERT?
- Age and medication history
- ACS signs/symptoms and ST segment elevation in 2 or more contiguous leads or Left Bundle Branch block (correct)
- Gender and ST segment elevation in all leads
- History of coronary artery disease and atypical chest pain
What is the threshold value for ST segment elevation in men according to the Lake EMS Protocol?
What is the threshold value for ST segment elevation in men according to the Lake EMS Protocol?
When should paramedics transmit 12 Lead EKGs to the hospital according to the Lake EMS Protocol?
When should paramedics transmit 12 Lead EKGs to the hospital according to the Lake EMS Protocol?
What is the purpose of ICE ALERT in the Lake EMS Protocol?
What is the purpose of ICE ALERT in the Lake EMS Protocol?
What is the maximum ground transport time for unstable patients according to the Lake EMS Protocol?
What is the maximum ground transport time for unstable patients according to the Lake EMS Protocol?
Which of the following hospitals is NOT included in the list of PCI centers in the Lake EMS Protocol?
Which of the following hospitals is NOT included in the list of PCI centers in the Lake EMS Protocol?
What is the threshold value for ST segment elevation in all other leads besides the ones with 2 or more contiguous leads?
What is the threshold value for ST segment elevation in all other leads besides the ones with 2 or more contiguous leads?
Which type of ACS is the most severe?
Which type of ACS is the most severe?
What is the purpose of the Aspirin Diagnostic & Instruction Tool used by dispatchers?
What is the purpose of the Aspirin Diagnostic & Instruction Tool used by dispatchers?
What is the criteria for classifying patients as STEMI ALERT?
What is the criteria for classifying patients as STEMI ALERT?
When should crews transmit 12 Lead EKGs to the hospital?
When should crews transmit 12 Lead EKGs to the hospital?
What is the ICE ALERT initiated for?
What is the ICE ALERT initiated for?
What is the option for transporting unstable patients if the ground transport time is greater than 45 minutes and air support response time is less than 30 minutes?
What is the option for transporting unstable patients if the ground transport time is greater than 45 minutes and air support response time is less than 30 minutes?
What is the purpose of the Lake Emergency Dispatch in Tavares?
What is the purpose of the Lake Emergency Dispatch in Tavares?
What is the main function of Lake Emergency Dispatch in Tavares?
What is the main function of Lake Emergency Dispatch in Tavares?
What are the criteria used to classify patients as STEMI ALERT?
What are the criteria used to classify patients as STEMI ALERT?
What is the most severe type of ACS?
What is the most severe type of ACS?
What is the threshold value for ST segment elevation in men?
What is the threshold value for ST segment elevation in men?
When should crews transmit 12 Lead EKGs to the hospital?
When should crews transmit 12 Lead EKGs to the hospital?
What is the ICE ALERT?
What is the ICE ALERT?
What is the purpose of the Aspirin Diagnostic & Instruction Tool?
What is the purpose of the Aspirin Diagnostic & Instruction Tool?
What is the option for transport if ground transport time is greater than 45 minutes and air support response time is less than 30 minutes?
What is the option for transport if ground transport time is greater than 45 minutes and air support response time is less than 30 minutes?
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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.
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