Contra Costa STEMI System

ST-Elevation Myocardial Infarction (STEMI) Program

Goal

To decrease mortality and morbidity by facilitating rapid intervention and optimal treatment of 911 patients with ST elevation myocardial infarction (STEMI).

Description

The STEMI program consists of a collaborative network of STEMI Receiving Centers (SRCs) and Prehospital Providers who work in concert to rapidly triage STEMI patients to STEMI Receiving Centers.

Key Principles

The Prehospital 12-lead ECG is a key component to the early diagnosis and ongoing definitive treatment of patients with myocardial infarction (MI). In all cases, the health and well being of the patient is the overriding consideration in determining patient destination. Factors to be considered include: transport time and request by the patient, family, guardian or physician.

Resources

Policy/Procedure

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  Definitions

  Elevation Myocardian Infarction (STEMI): An acute MI that generates ST-segment elevation on the prehospital 12-lead ECG.

  STEMI Receiving Center (SRC): A hospital designated by Contra Costa County EMS with cardiac capabilities, (cardiac catheterization, laboratory and/or cardiovascular surgery), designed to provide rapid intervention for STEMI patients.

  • STEMI Treatment Timeline

  
  

  STEMI Receiving Centers

  A STEMI Receiving Center (SRC) is a hospital designated by Contra Costa County EMS with cardiac capabilities, (cardiac catheterization, laboratory and/or cardiovascular surgery), designed to provide rapid intervention for STEMI patients.

  The following hospitals have been designated as STEMI Centers in the Contra Costa County EMS STEMI System:

  • John Muir Medical Center — Walnut Creek
  • John Muir Medical Center — Concord
  • Kaiser - Walnut Creek
  • San Ramon Regional Medical Center
  • Sutter Delta Medical Center - Antioch
  • Valley Care Medical Center Pleasanton
  • Alta Bates Summit Medical Center - Summit Campus, Oakland
  • Kaiser - Vallejo

  
  

  Designated STEMI Center Documents

  Contra Costa EMS STEMI System brochure

  Trainings

  • STEMI System Hospital Training

  
  

  Public Education

  Know the Signs of Heart Attack

  If someone experiences:

  • Chest discomfort
  • Arm, back, neck or jaw pain
  • Shortness of breath
  • Sweating, nausea, light headedness

  
  
  

  Heart Attack Information for Patients

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  Policies

  Our STEMI program is guided by these policies:

  • STEMI Triage and Destination (Policy #4009)
  • CT/STEMI Diversion (Policy #5002)
  • STEMI Receiving Center Designation (Policy #5003)
  • I01 - STEMI Transfer Treatment Guideline