CARDIOLOGY JHH

STEMI or acute coronary occlusion (ACO)

ECG meeting STEMI criteria, or associated with concern for occluding MI - should be transmitted via Life Pak* to the Cardiology AT JHH for review. Primary PCI is is the goal. We have 60 mins to get the patient on the road to the JHH, any delay >60mins should prompt you to consider thrombolysis.

Cardiology advanced Trainee is contactable via 0428012776.

It is also possible to send images of previous and subsequent ECGs via SMS to this mobile number.

For STEMI, door to balloon time is ideally 90 minutes (out to 120 minutes), so our local agreement is thrombolysis at 60 minutes from arrival at ED, OR 60 minutes from when the STEMI starts if it starts while the patient is in ED.

If a delay has occurred or is anticipated, seek the advice of the cardio AT about thrombolysis

If the patient is not accepted by Cardiology AT and you are concerned contact the FACEM on call.

*Life Pak - ECG machine that automatically transmits ECG to JHH Cardiology AT at the time of recording