Mission: Lifeline EMS Recognition : FMC to Device < 90 Minutes Worksheet

Transcription

1 Mission: Lifeline EMS Recognition : FMC to Device < 90 Minutes Worksheet Did Pt. Receive PCI FMC to PCI < 90 Minutes Exclusions Documented Delay after hospital arrival (Refer to Page 4 in EMS Recognition Guide) Blinded Patient Identifier STEMI noted on Prehospital ECG - 18 yo or older? Yes (Include Patient) No (Exclude) Time of FMC to Arrival (in minutes) Time of Arrival to Device (in minutes) Total Time (Minutes) of FMC to Device Activation Did pt receive lytics? Was pt transferred from referring center? Difficult access? Consent delay? Arrest and/or Intubation? Difficult lesion? Other documented delay?

2 STEMI on Pre-hospital ECG Was a STEMI identified with a pre-hospital 12 lead ECG? INCLUDE EXCLUDE 18 yo or older Is the patient 18 years or over? INCLUDE EXCLUDE Patient receive PCI Did the patient receive Primary Percutaneous Intervention? INCLUDE EXCLUDE Did patient receive lytics Did patient receive lytics prior to arriving to the STEMI Receiving Center? Was patientt transferred from referral center Was the patient transferred from a Referring center? Difficult access Did STEMI Receiving Center document delay due to difficult vascular access? Consent delay Arrest Intubation Difficult lesion Other documented delay Time of First Medical Contact Time of Device Activation FMC to Device Inclusions/Exclusions and Elements to consider Did STEMI Receiving Center document delay due to patient delay in providing consent for the procedure? Did STEMI Receiving Center document delay due to the need for intubation and/or cardiac arrest? Did STEMI Receiving Center document delay due to difficulty in crossing the lesion? Did STEMI Receiving Center document another delay after arrival to STEMI Receiving center? The documented time when first pre-hospital medical personnel comes into eye to eye contact with the STEMI patient The documented time of "device activation" YES NO Total time of FMC to Device Activation Time Time of Device activation - Time FMC The numerator should only include those patients who meet the above inclusion criteria and have a total FMC to Device Activation time of 90 minutes or less.

3 Mission: Lifeline EMS Recognition : Arrival (at Referral Centers) to Lytic Administration < 30 Minutes Worksheet Did Pt. receive Lytics? Arrival to Lytics < 30 Minutes Blinded Patient Identifier STEMI noted on Pre-Hospital ECG - 18 yo or over? YES or NO Yes (Include Patient) No (Exclude Patent) Time of Arrival to Referring Center Time of Lytic Admin Total Time (Minutes) of Arrival to Lytics Notes

4 Arrival (at refering Center) to Lytics Inclusions/Exclusions and Elements to consider YES NO STEMI noted on Pre-hospital ECG Was a STEMI identified with a pre-hospital 12 lead ECG? INCLUDE EXCLUDE 18 yo or over Is the patient 18 years or over? INCLUDE EXCLUDE Lytics Administered? Did the patient receive Lytics at the Referring center? INCLUDE EXCLUDE Transfer for Primary PCI Time of Arrival to Referring Center Was the patient transferred, for Primary PCI? (no Lytic Administration) The documented time the STEMI patient arrived to the Referring Center EXCLUDE Go to - Did pt receive lytics? Time of Lytic Administration Total time of Arrival to Lytics The documented start time of Lytic Administration Time of Lytic Administration - (minus) Time of patient Arrival to Referring Center. The numerator should only include those patients who meet the above inclusion criteria and have a total time of Arrival to Referring Center to Lytic Administration time of 30 minutes or less.

5 Mission: Lifeline EMS Recognition : Percent ECG obtained in patients 35 years of age and over with non-traumatic chest pain (and transported) Inclusions Was the patient transported? Did the transported patient have a Prehospital 12 Lead ECG acquired? Blinded Patient Identifier Complaint of Non-Traumatic Chest pain 35 yo or older YES or NO Yes No Yes No Notes

6 Percent ECG's obtained in patients 35 years of age and older, with complaint of non-traumatic chest pain Inclusions/Exclusions and Elements to consider YES NO Non-Traumatic Chest Pain Did the patient have a complaint of non-traumatic chest pain? INCLUDE EXCLUDE 35 years of age and older Is the patient 35 years or older? INCLUDE EXCLUDE Was the patient transported? Was this 35 year old or older patient with non-traumatic chest pain transported? INCLUDE EXCLUDE