Eligibility
- Symptoms suggestive of Acute Myocardial Infarction
- Chest Pain within 12 hours
- ECG showing acute myocardial infarction
- ST elevation >1mm in limb leads
- ST elevation >2mm in precordial leads
- New LBBB with appropriate clinical history
Who to Call – When
- In Hours (Mon-Friday 09-17:00) – ACS Nurse @ CRH (15)4942
- Out of Hours (Mon-Fri 17-09:00 & Sat/Sun) – LGI (tel:O792O548411)
Advice – call LGI Cardiology SpR or Cardiologist locally
Transport
- Critical Care 999 transfer with Paramedic crew
- (Tel:O3OO33OO276)
- Priority 1 with for primary angioplasty
If no ambulance arrives within 10mins ring YAS for an update
Medication
- Appropriate analgesia (Nitrates/Opiates)
- Aspirin 300mg (if not already given)
- Other medication may be given at the clinicians discretion
- If accepted for PPCI also give Ticagrelor 180mg orally
Thrombolytics should NOT be given if the patient is accepted for PPCI
