ACS (Acute Coronary Syndome) in the Emergency Department
From Guide to YKHC Medical Practices
The diagnosis and management of ACS (Acute Coronary Syndrome) in the YKDHR Emergency Department has several peculiarities owing being 400 miles from the next highest level of care (Anchorage) and having limited inpatient capabilities for cardiac patients.
Inpatient Cardiac Services
Transfers
Beneficiaries
- Urgent PCI required (typically for STEMI)
- Beneficiaries requiring URGENT PCI are transferred to either Alaska Regional Hospital or Providence Alaska Medical Center.
- NOT requiring Urgent PCI
- Beneficiaries requiring a higher level of care but who will wait one or two days until angiography/PCI are transferred to ANMC (Alaska Native Medical Center).
Non-beneficiaries
- All non-beneficiaries who require a higher level of care must be transferred to either Alaska Regional Hospital or Providence Alaska Medical Center.
ACS Guidelines
| Date | Guideline | Revision Notes | Status |
|---|---|---|---|
| 06/22/2011 |  |
None | Active |
| 2020 | Pending | 2020 Revision Notes | In process |
