STEMI referring (non-PCI) hospitals must overcome a number of barriers
and preconceptions in order to play their ideal role within the STEMI system. The chart below examines these barriers and provides a list of solutions.
|Multiple interests regarding STEMI plan ||Build consensus around what is best for the patient according to: |
Lack of electrocardiogram (ECG) space
Provide privacy for an ECG in triage (convert a closet or curtain area)
Change policy for ED medicine empowered to make reperfusion decision
|EMTALA and transfer issues|
|Rural issues: Lytic ineligible, shock patients||Have a transfer plan in place and a back-up plan for rural areas|