Activating Code STEMI

aCtiVating Code stemi

Code STEMI Hotline

The phone number for the Code STEMI Hotline (and Code STROKE) is:

1300 365 211

Dialling the number will connect you to an automated switchboard where you will be presented with a number of pre-recorded options. Use the phone’s keypad to make your selection.

For Metropolitan PUBLIC Code STEMI, Press 1 For Metropolitan Code STROKE, Press 2 For Metropolitan PRIVATE Code STEMI, Press 4

Metropolitan PUBLIC Hospital Code STEMI Menu

For Metropolitan PUBLIC Code STEMI, Press 1

For the RAH, press 1 For FMC, press 2 For QEH, press 3

For the Lyell McEwin, press 4

Metropolitan PRIVATE Hospital Code STEMI Menu

For Ashford Private, press 1 For Metropolitan PRIVATE Code STEMI, Press 2

For Calvary Wakefield, press 2

Code STEMI Notification

The Code STEMI notification should be done using the ISBAR mnemonic. Prior to making the call, you should take the time to collect the relevant information needed to provide an orderly and concise notification.

If you are unable to connect to the Code STEMI Hotline, notify the destination hospital ED through the routine notification process.

Note: When describing the diagnosis, you can use the correct nomenclature, or describe the ECG criteria that were met to activate Code STEMI. For example, you could say “...serial ECG showing an Inferior infarct...” or alternatively “...serial ECGs with ST elevation greater than 1mm in leads II, III and aVF with reciprocal depression in leads I and aVL.

Arriving at Hospital

Activating Code STEMI doesn’t automatically grant you direct access to the cardiac catheterisation laboratory (cath lab). You may be directed to the ED if the patient is deemed to be unstable, or when the cath lab is at capacity.

When transferring your patient at the hospital, it is important to keep the patient monitored and have resuscitation equipment at hand until handover has been completed. You should also provide the receiving clinician with a copy of your serial 12-Lead ECGs, and print an additional copy for your case card.