| Document Date: 2014-02-04 10:35:23
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Company RN Documentation STEMI (ST-Segment Elevation Myocardial Infarction) Protocol D.A.S. / Protocol D.A.S. / / Event FDA Phase / / Facility ST. MARY’S Hospital / ST. LUKE’S Hospital / Hospital Transfer / PCI facility / STEMI Hospital / Regional Hospital / / / MedicalCondition prior ischemic stroke / allergies / Yes / No Other Allergies / dementia / heart block / Ischemic stroke / shock / poorly controlled hypertension / arteriovenous malformation / Known Allergy / Severe uncontrolled hypertension / malignant intracranial neoplasm / reactive airway disease / heart failure / ST-Segment Elevation Myocardial Infarction / prior intracranial hemorrhage / Active peptic ulcer / prior allergic reaction / acute ischemic stroke / asthma / acute myocardial infarction / / MedicalTreatment CPR / major surgery / / Organization Regional Hospital / Cath Lab for Percutaneous Coronary Intervention Do / Cath Lab / ETA / ’S Hospital / STEMI Hospital / / / Position Cardiologist / Date / Product Diazepam / Morphine Sulfate / Zofran / Integrilin / TNKase / Clopidogrel / Plavix / Nitroglycerin / Valium / Ondansetron / Aspirin / /
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DASH STEMI Transfer Protocol Current November 2013