ACS (Acute Coronary Syndome) in the Emergency Department: Difference between revisions
From Guide to YKHC Medical Practices
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== Inpatient Cardiac Services == | == Inpatient Cardiac Services == | ||
* The inpatient medical ward does not provide continuous telemetry monitoring and is not staffed by nursing with coronary unit experience. | |||
* The inpatient medical ward accepts patients with stable cardiac conditions or those who do not require continuous telemetry monitoring (such as CHF exacerbations, atrial fibrillation, etc.). | |||
* The inpatient medical ward cannot admit patients with ACS or with other conditions associated with a high risk for life-threatening arrhythmias. | |||
Revision as of 11:53, 14 February 2020
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
- The inpatient medical ward does not provide continuous telemetry monitoring and is not staffed by nursing with coronary unit experience.
- The inpatient medical ward accepts patients with stable cardiac conditions or those who do not require continuous telemetry monitoring (such as CHF exacerbations, atrial fibrillation, etc.).
- The inpatient medical ward cannot admit patients with ACS or with other conditions associated with a high risk for life-threatening arrhythmias.
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 |