In-hospital STEMI cases account for up to 20% of all STEMIs treated in hospitals and mortality rates are 10-fold higher than for out-of-hospital STEMI cases -- and approach mortality rates associated with cardiogenic shock.

According to the authors of an article published last week in MedPage Today, the following is needed:

1) Low threshold throughout the hospital to perform ECGs more quickly in those with hemodynamic decompensation or other signs of acute MI,

2) PROCESS for IMMEDIATE review and interpretation of ECG,

3) Formal in-hospital STEMI activation process.

This article highlights the importance that your STEMI system of care must be the same for all patients in your region, regardless of their presentation:  EMS, Walk-in to ED, Inpatient, and Transfer.

What is your plan?

We need a real time team communication platform that crosses healthcare entities and can simplify care coordination for all time sensitive emergencies regardless of their initial presentation. 

The future of healthcare communication is connected teams.

James Woodson, MD

Written by James Woodson, MD

James is a board-certified Emergency Physician, and is the Founder and CEO of Pulsara.