HH CCU PATHWAY FOR PRIMARY ANGIOPLASTY

1
HH CCU PATHWAY FOR PRIMARY ANGIOPLASTY
CHEST PAIN 1mm ST ELEVATION or NEW LBBB
CALL HAMMERSMITH HOTLINE [phone]
THROMBOLYSE IF APPROPRIATE
IS CCU BED AVAILABLE ?
NO
9am - 5pm CALL 31662 ASK CATH LAB WHEN THEY CAN
ACCEPT PATIENT
Out of Hours CALL 2222 ASK FOR THE PRIMARY
ANGIOPLASTY TEAM
CCU CONFIRMS ACCEPTANCE AND INSTRUCTS HH AE ON
PATIENT MOVEMENT
CCU INSTRUCTS AE TO HOLD PATIENT AT PRESENT OR
FASTRACK TO CCU IF BED AVAILABLE
CATHETER LAB READY
NO
CCU INSTRUCTS AE TO FAST TRACK PATIENT TO
CATHETER LAB
PRIMARY ANGIOPLASTY
2
LAS PATHWAY FOR PRIMARY ANGIOPLASTY

• LAS ASSESSMENT
• SUSPECTED AMI
• 12 LEAD ECG

1MM ST ELEVATION IN 2 CONTIGUOUS LEADS/ NEW LBBB
INFORM AMBULANCE CONTROLLER WHO WILL ALERT AE
AND CCU AT HAMMERSMITH
DIRECT TRANSFER TO HAMMERSMITH A/E
PRIMARY ANGIOPLASTY
BACK TO SLIDES