Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 15 - Emergency Response Network
Chapter 195 - STEMI Protocols
Section I-19501 - STEMI Triage Protocol for Pre-Hospital Providers
Current through Register Vol. 50, No. 9, September 20, 2024
A. On November 21, 2013, the Louisiana Emergency Response Network Board [R.S. 40:2842(1) and (3)] adopted and promulgated "STEMI Triage Protocol for Pre-Hospital Providers," as follows.
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Acute coronary symptoms >=15 minutes and < 12 hours AND 12 lead ECG criteria of 1 mm ST elevation in 2 or more contiguous leads OR LBBB NOT KNOWN to be present in the past EMS ECG interpreted or transmitted to hospital for MD consult for bypass and activation |
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[DOWNWARDS ARROW] |
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STEMI-Receiving Center with medical contact-to-device (PCI) <=90 minutes (by ground or air)? |
YES [RIGHTWARDS ARROW] |
Transport to nearest STEMI-Receiving Center with pre-hospital notification/activation Goal medical contact to device (PCI) time of 90 minutes or less |
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NO [DOWNWARDS ARROW] |
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Transport to closest STEMI-Referral Hospital with Pre-hospital notification/activation Goal medical contact to fibrinolytic needle time of 30 minutes or less |
[RIGHTWARDS ARROW] |
Transport to nearest STEMI-Receiving Center for subsequent PCI |
*O'Gara PT, Kushner FG, Ascheim DD, et all. 2013 ACCF/AHA Guideline for the Management of ST -Elevation Myocardial Infraction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2013;61(4):e78.
B. This protocol was published at LR 50:192 (January 20, 2014).
AUTHORITY NOTE: Promulgated in accordance with R.S. 9:2798.5 and R.S. 40:2846(A).
