STEMI and Cardiac Resuscitation Referring Centers Barriers & Solutions

Updated:Aug 23,2013

Mission: Lifeline® Referring (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
BARRIER:  Post-Cardiac Arrest Limited staff

EXAMPLES

  • Limited resources
  • Rural geography

SOLUTION

  • Identify hospital champion to drive change
  • Build referring center relationship with an identified comprehensive Cardiac Resuscitation receiving center
  • Train Referring Center staff on early recognition, rapid defibrillation, quality chest compressions, therapeutic hypothermia induction, and rapid transfer