Provider Training Module Written Tutorial
Introduction
- 1.1: The Project UPSTART Provider Education Tutorial
- 1.2: What exactly is STEMI?
- 1.3: STEMI treatment: The theory behind the “need for speed”
- 1.4: Treatment of STEMI
- 1.5: What exactly is “Project UPSTART”?
- 1.6: The four keys to STEMI identification and management
- 1.7: Recognition: the first Key Step
- 1.8: The STEMI ALERT Packet: The Trigger for Reperfusion
- 1.9: Inside the STEMI ALERT Packet
- 1.10: Individual roles of the STEMI care team
- 1.11: Completing Data Sheets A & B
- 1.12: Data Sheets A and B: The Key to Continued Success
- 1.13: STEMI ALERT Data Management: Put That Data to Work!
- 1.14: A final review of the four keys steps
Training Tutorial 1.5
What exactly is “Project UPSTART”?
UPSTART is an acronym. It’s short for: “The Use of Procedural Standardization to Reduce Recognition to Reperfusion (R2R) Time in ST-elevation Myocardial Infarction (STEMI).”
What exactly is “R2R”?
Recognition to Reperfusion: The interval between STEMI recognition and opening of the blocked artery.
Our motto: Excellence in R2R!
Recognition may occur in the ED, in an EMS vehicle, at Grandma’s house - anywhere you can do an ECG!
Reperfusion occurs via the use of thrombolytic drugs or heart catheterization. The faster the better!
Regardless of where (or how) “the two “R’s” actually occur on each patient; we continually strive to bring them closer together: Early recognition followed by early reperfusion.
“Pulling the two R’s together” requires a clear plan of action and quick decision making. When a STEMI is detected, everything should occur as if we do this all the time. However, STEMI is usually a rare event – not that many chances to practice! The secret to success is to set up a carefully designed system in advance (remember fire drills in elementary school?) that has key decisions built into the process. When a STEMI is identified, we can simply “pull the trigger” and follow pre-established instructions and not waste precious time on non-critical actions.