STEMI

Will this still be relevant after ICD10? Will it still be relevant only to STB? In ICD10, Myocardial infarction, acute (AMI), transmural (Q-wave)

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A STEMI is a myocardial infarction with ST elevation on ECG [1], but this article has nothing to do with that. See Myocardial infarction for instructions on coding an MI.

CODE STEMI is a city wide alert system (similiar to a CODE BLUE) that is called on the PA system in the hospital to alert specific personnel to assist with this patient. They will not go to ER first to facilitate a very rapid "primary" PTCA. These patients are then sent from the heart cath lab to CCU at STB or HSC.

This is relevant for data collection purposes because it is one of the few scenarios in which a patient would be admitted from home to an ICU, and because unlike other procedures we don't collect this as admitted from OR.

Previous Location

Code this specific situation previous location home or another hospital if that is where they came from, i.e. previous location is not ER.

Primary Admit Diagnosis

Code the primary admit diagnosis as angiogram or angioplasty. If more "responsible for admission" diagnoses are present (such as a cardiac arrest or cardiogenic shock) of course code these as primary admit diagnosis, and then code angio after as appropriate.