For patients presenting in Atrial Fibrillation please see current NYGH ED protocol
IMPORTANT: Phone contact with the interventionalist is required prior to all STEMI transfers and initiation of antiplatelets or heparin.
DO NOT GIVE TICAGRELOR until the patient is confirmed for PCI.
Please note: Sunnybrook is using one table for PCI for STEMI so there may be delays, redirect to UHN and then St.Mikes is still available.
Relevant PowerPlans (order through Firstnet):
CrCU/ED Tenecteplase/TNKase for Myocardial Infarction/STEMI
Enoxaparin for Myocardial Infarction/STEMI: Thrombolytic Given
Supporting documents linked to the PowerPlans and IV guidelines with their links on ERIC (links only active while @ NYGH)
Rabies (Toronto Public Health) PEP/Reporting Tool
To solely report an animal exposure without requesting PEP: www.toronto.ca/BiteReport
To request PEP:
ED Management of Spontaneous pneumothorax - Complete Guideline
One Page Algorithm
Patient Handout (can also be found on patient handout page)