STEMI and Cardiac Resuscitation Referral Centers Barriers & Solutions
Mission: Lifeline Referral® (non-PCI) Centers must overcome a number of barriers and preconceptions in order to play their ideal role within a system of care. The chart below examines these barriers in addition to those related to STEMI and provides a list of solutions.
| BARRIER: Lack of Comprehensive Post-Cardiac Arrest Care |
EXAMPLES - Lack of active engagement from multidisciplinary team
- Lack of multi professional engagement
- Lack of organization of in-hospital resources to care for cardiac resuscitation patients
- Lack of established treatment protocols for cardiac resuscitation
| SOLUTION - Identify hospital champion to drive change
- Identification and certification of specialized cardiac resuscitation centers
- Develop an accreditation process to designation cardiac resuscitation centers
- Develop multidisciplinary, post-cardiac arrest teams
- Early transfer for PCI eligible to STEMI Receiving Centers
- Begin or continue hypothermia when indicated
- Address CMS and other National data reports to review methods of reporting OHCA survivor morbidity
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| BARRIER: Post-Cardiac Arrest Limited staff |
EXAMPLES - Limited resources
- Rural geography
| SOLUTION - Identify hospital champion to drive change
- Build referral center relationship with an identified comprehensive Cardiac Resuscitation receiving center
- Train Referral Center staff on early recognition, rapid defibrillation, quality chest compressions, therapeutic hypothermia induction, and rapid transfer
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