Code STEMI
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)
Thrombolysis for Myocardial Infarction: Inclusion and Exclusion Criteria (Link) (PDF)
Enoxaparin Dose Banding Table for Myocardial Infarction (STEMI) with Thrombolytic (Link) (PDF)
COVID-19 Follow Up Clinic
A primary care provider will call the patient to follow up and provide test results. Order through Firstnet: COVID-19 High Risk Follow Up.
Examples:
a) Patients with unclear access to a primary care provider
b) Patients without internet access
c) Suspected COVID patients who do not require admission
Gynecology
Acute Care Gyne Clinic (Sr Resident Clinic) Referral Guidelines
Oral Maxillofacial Service
OMF Sunnybrook Referral Guidelines
OMF Sunnybrook Patient Handout
Pediatrics
NYGH Peds Ambulatory Clinic
Telephone visits, document 2 phone numbers on the chart
If the MD determines that they need to be seen in person, the clinic will arrange for them to be seen in person for non-febrile respiratory issues
Clinically worsening febrile respiratory pts, suggest ED visit with Peds consult
As of June 8, 2020: If the emergency physician feels a patient must be seen in-person, then please fax the referral indicating the physician’s recommendations and we will make arrangements. Please do not directly book these patients into the schedule
Kindercare Pediatrics
Eglinton Ave W & Avenue Rd
Specialty pediatrics clinics including: breastfeeding and lactation, circumcision, allergy, rheumatology, dermatology, etc...
Kindercare Pediatrics Referral Form
Physiotherapy
Criteria for OHIP covered Physiotherapy
Have OHIP number
Age > 65
On Ontario Works or ODSP
DC from hospital after an overnight admission
Resident of LTC age 18 or older
Private Physiotherapy Clinics
Rapid Cardiac Clinic
For patients presenting in Atrial Fibrillation please see current NYGH ED protocol
Tuberculosis
Refer stable suspected outpatient TB patients to West Park Health Care (Jane/Eglinton), they will not be seen in Baruch-Weisz Clinic. Please fax all relevant records and investigations along with referral form.
Urology
Acute Care Urology Clinic (Baruch-Weisz) Referral Guidelines
CCAC form pre-filled with trial void orders
CCAC form pre-filled with home foley care orders
Vascular Surgery
Refer to NYGH/UHN Vascular Surgery Collaborative Algorithm (Mar 26, 2019)