STEMI and Cardiac Resuscitation Receiving Center Barriers & Solutions

Updated:Apr 12,2012

While STEMI and Cardiac Resuscitation Receiving Centers have the expertise, facilities and equipment to deliver percutaneous coronary intervention (PCI) to patients, they still have barriers to overcome as part of a system of care. The chart below examines the additional barriers that receiving centers may encounter and provides a list of solutions. These barriers and solutions are in addition to the STEMI system barriers and solutions.

STEMI and Cardiac Resuscitation Receiving Centers Barriers and 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 post arrest
  • Lack of established treatment protocols for post-cardiac arrest survivors
  • Effect of increases post-cardiac arrest survivors requiring PCI on nationally reported hospital data and outcomes

 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
  • Provide early cardiology evaluation and if needed pPCI for those eligible
  • continued hypothermia
  • Delay prognostication of functional outcome for at least 72 hours
  • Referral for AICD placement
  • Address CMS and other National data reports to review methods of reporting OHCA survivor morbidity