Pt enters the ED with

Chest Pain

Triage performs

initial evaluation

STEMI?

Assess & treat

for NSTEMI or

other conditions

as appropriate

NO

YES

Initiate TRACK I

Protocol

Upon arrival Cath

Team setup lab for

procedure

EKG to ED

Physician within

10 minutes of

completion

Initiate AMI Page

to On Call

Interventionalist

and Cath Team

Consent for Heart

Catherization

Patient

Transported to

HCL by ED RN

Cath Team

Receives Patient &

Prepares for

Procedure

Cardiologist

Evaluates,

Discussion with Pt/

Family

Heart Cath

Performed

Intervention

Required

NO

Intervention

Performed

Transfer to CICU for

Follow-up Care

Transfer to CICU for

Further Evaluation &

Treatment

YES

Admit/Discharge

as appropriate

Consider

Fibrinolytic

Therappy if Cath

Lab not readily

available

EKG completed by

ED

Is Cath Lab

Available

YES

NO

Patient Quick

Registered