This survey has been developed by the VHAC ED Bypass Workgroup to gather insights into pre-cath lab medication practices and management protocols for STEMI cases, including walk-ins, POV arrivals, and interfacility transfers. The survey aims to understand current practices, medications and dosages, and protocols used. Your responses will help us identify areas for improvement and establish best practices for enhanced patient outcomes across our network.

Thank you for your participation.

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* 1. Contact Information

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* 2. 1. Do you administer an additional dose of aspirin if it has already been given by EMS?

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* 3. For STEMI patients who walk-in/POV, do you give aspirin even if the patient says they took it prior to arrival?.

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* 4. What dose of ASA do you give??

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* 5. Do you administer unfractionated heparin before cath lab arrival?

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* 6. If yes, what dose do you use?

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* 7. Do you administer enoxaparin before cath lab arrival?

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* 8. If yes, what dose do you use?

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* 9. Do you administer a statin before cath lab arrival?

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* 10. If yes, what statin do you use?

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* 11. What dose do you use?

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* 12. Do you administer a P2Y12 inhibitor before cath lab arrival?

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* 13. If yes, which medication do you use?

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* 14. What dose do you use?

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* 15. Are there any other medications you routinely administer before cath lab arrival?

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* 16. Do you have a protocol for managing simultaneous STEMI cases?