STEMI and Cardiac Resuscitation Receiving Center Strategies

Updated:Oct 18,2012

Mission: Lifeline has defined strategies for the ideal Receiving (PCI-capable) Center to streamline patient care.

In addition to the strategies for the ideal STEMI Receiving Center, these strategies exist for STEMI and Cardiac Resuscitation Receiving Centers:

  • Designated hospital champion for cardiac resuscitation
  • Implements and maintains standard triage and treatment protocols for cardiac resuscitation that is consistent with The American Heart Association guidelines. • Initiates hypothermia as soon as possible when indicated
  • Initiates cardiology consult as soon as possible
  • Has a plan to treat simultaneous cardiac resuscitation patients
  • Has a plan for and ability to treat re-arrest, including mechanical device and/or pharmacological support
  • Capable of assessment of need for ICD placement and providing appropriate follow up
  • Defers assessment of prognostication and withdrawal of care for at least 72 hours after cardiac resuscitation
  • Works with EMS medical direction and cardiac resuscitation referral center to develop cardiac resuscitation treatment plan
  • Actively participates in multidisciplinary group to monitor and improve cardiac resuscitation processes and outcomes
  • Participates in regional or national quality improvement program to monitor and improve cardiac resuscitation care processes and outcomes
  • Integrate plans for return of the patient to the local community for follow-up care following discharge from the cardiac resuscitation receiving center on a routine basis
  • Provides CPR training for community, with goal of achieving bystander CPR rates > 50%
  • Provides CPR, ACLS and PALS training for appropriate staff
  • External certification not self-designation as part of cardiac resuscitation system of care
  • Should include at least compression-only CPR training for all employees