CPMI-0222 - Metric 55 - Door-in | Door-out time-0222 - Metric 55 - Door-in

Video Transcription

Video Summary

This video discusses a case scenario regarding metric 55 door-in door-out time in the context of evaluating the percentage of acute STEMI or its equivalent patients with a time from ED arrival to ED discharge that is less than or equal to 30 minutes. The scenario involves a 78-year-old female who presented to the emergency department with chest tightness and dizziness. After an initial ECG revealed ST elevation and the patient became unresponsive, CPR was administered and spontaneous circulation was restored. The patient was then transferred to a cath lab for primary PCI for ST. The video answers a question regarding whether the patient should be included in the numerator for metric 55, and the answer is yes, despite the occurrence of a cardiac arrest. The importance of timely treatment and quality improvements in cardiac care is emphasized, along with the consideration of fibrinolytic therapy when primary PCI is not feasible within a certain time frame. The video also highlights the need for assessing the limitations of receiving facilities and following ACC/AHA guidelines for the management of STEMI. No credits are provided.

Keywords

metric 55

door-in door-out time

acute STEMI

ED arrival to ED discharge

cardiac care