Click the following questions for the answer.
1. How will the great variation in emergency medical services (EMS) and resources across the country be addressed?
It has been clear from the start of this initiative that there is not a "one-size-fits-all" solution. This is the main reason that the AHA is dedicating resources to create state and regional STEMI and cardiac resuscitation stakeholder task forces to determine the appropriate actions for each region.
This information is not completely available and it is one of the reasons for the Mission: Lifeline focus on EMS Systems Assessment and Improvement.
3. How does an EMS professional determine whether to take a heart attack patient to the nearest referral center or to a receiving (PCI-capable) center?
Mission: Lifeline supports standardized point-of-entry (POE) protocols. Developed by state-based coalitions of EMS personnel, emergency physicians and cardiologists and supported by payers and administrators, these protocols dictate when patients should be transported to the nearest referral center or to the nearest receiving (PCI-capable) center. The determination is based in part on the acquisition, interpretation and transmission of the pre-hospital 12-lead ECG administered by EMS.
4. How can EMS organizations gauge their effectiveness in handling patients once they are transported to the hospital?
As it is now in many healthcare systems across the country, EMS providers often never know what happens to a patient once transport to the hospital is complete. As part of the Mission: Lifeline initiative, the various parties in a system of care will work together do a better job communicating with one another on patient outcomes.