STEMI Triage Protocol

Question 1

Criteria for STEMI

Answer 1

Chest pain, anginal equivalent, or other symptoms of acute ischemia with:

• ST segment elevation at the J point of greater than 1 mm in 2 or more contiguous leads

Question 2

If Non STEMI or ACS

Answer 2

Treat per Chest Pain AG

Question 3

Prior to Transport

Answer 3

1. Transmit ECG to the ED
2. Provide STEMI ALERT only if patients meets STEMI criteria
3. Provide accurate ETA
4. Provide direct communication to the ED for patients in shock or severe signs or symptoms