Thousands of ST-segment Elevation Myocardial Infarction (STEMI) patients fail to receive critical therapy in a timely fashion each year, and nearly 30 percent do not receive any reperfusion treatment at all. As a result, the American Heart Association created the STEMI Provider Manual to help address the ongoing need for training in the early recognition of STEMI.
This Manual prepares and enables out-of-hospital and in-hospital personnel to increase the assessment, diagnosis and treatment of STEMI patients.
The STEMI Provider Manual is intended for personnel in out-of-hospital and in-hospital, including paramedics, nurses, nurse practitioners, physician assistants and physicians. Also for other STEMI systems of care providers.
- STEMI clinical information, including steps needed to attain treatment goals
- Direction on 12-lead ECG as a key tool in triage and treating Acute Coronary Syndromes (ACS)
- Distinguishing ECG findings for identifying patients into three ACS categories
- Steps for fibrinolytic therapy and percutaneous coronary intervention (PCI)
- Identifying pharmacologic agents for pain relief and reperfusion therapy
- Includes ECG ruler as companion tool
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Course ContentSTEMI systems of care (out-of-hospital and in-hospital settings)
- Acute coronary syndromes (ACS) pathophysiology
- STEMI identification and treatment
- Appendix – 12-lead ECGs with annotations for self-study
Student Materials90-1067 STEMI Provider Manual with ECG ACS Ruler
80-1181 ECG ACS Ruler is also sold separately.
Self-directed learning through review of the 80-page booklet and online exam.
This course does not offer American Heart Association course completion certification.
Students complete review of the booklet and learning objectives in about 1.5 hours (including the online test).
After review, students use the voucher provided in each Manual to logon to the American Heart Association’s Professional Education Center and access the 20-question online exam and CME/CE credit.
STEMI Provider Manual:
ORIGINAL RELEASE DATE: May 2008
TERMINATION DATE: October 31, 2017
LAST REVIEW DATE: September 2014
The STEMI Provider Manual provides self-directed learning through review of the 80-page booklet and online exam. The manual prepares and enables out-of-hospital and in-hospital personnel to increase the assessment, diagnosis and treatment of ST-segment Elevation Myocardial Infarction (STEMI) patients, to help address the ongoing need for training in the early recognition of STEMI.
After participating in this activity, participants will be able to:
1. Identify appropriate pharmacological agents for pain relief and as aids to reperfusion therapy.
2. Identify the 12-lead ECG as a key tool that must be used to triage and treat an acute coronary syndrome (ACS).
3. Recognize the ACS Algorithm as a tool to identify a patient who is experiencing chest pain and to guide the initial steps that out-of-hospital and ED healthcare providers must take to manage a STEMI patient.
4. Differentiate the ECG findings for categorizing patients into 1 of 3 possible ACS categories: STEMI; NSTEMI/UA; normal or non-diagnostic ECG.
5. Identify steps needed to attain the treatment goals to treat eligible STEMI patients with either fibrinolytic therapy within 30 minutes or with percutaneous coronary intervention (PCI) within 90 minutes of arrival at the ED.
- Primary Audience:
- Physician Assistants
- EMTs/Paramedics/EMT-P/Advanced EMTs
- ACCME/AMA (Physicians) – November 1, 2014 – October 31, 2017
- ANCC (Nurses) – November 1, 2014 – October 31, 2017
- CECBEMS (EMS Practitioners) – November 1, 2014 – October 31, 2017
Continuing Medical Education Accreditation - Physicians
The American Heart Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Heart Association designates this educational activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All persons who develop and/or control educational content in CME activities sponsored by the American Heart Association will disclose to the audience all financial relationships with any commercial supporters of this activity as well as with other commercial interests whose lines of business are related to the CME-certified content of this activity. In addition, presenters will disclose unlabeled/unapproved uses of drugs or devices discussed in their presentations. Such disclosures will be made in writing in course presentation materials.
Continuing Medical Education Accreditation – Physician Assistants
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.50 hours of Category I credit for completing this program.
Continuing Education Accreditation - Nurses
The American Heart Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The maximum number of hours awarded for this CE activity is 1.75 contact hours.
Continuing Education Accreditation – Emergency Medical Services
This continuing education activity is approved by the American Heart Association, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 1.50 Advanced CEHs, activity number 14-AMHA-F3-0240.
Disclosures for STEMI Provider Manual Course:
I. Successful completion of this CE activity includes the following:
(1) Read the STEMI Provider Manual.
(2) Complete the post-course written test with a score of 84% or higher.
(3) Complete the Course Evaluation form.
(4) Print the Certificate/Statement of Credit.
II. There is no additional fee for CME/CE credits for this activity.
As a sponsor accredited by the Accreditation Council for Continuing Medical Education (ACCME), American Academy of Physician Assistants (AAPA), American Nurses Credentialing Center’s Commission on Accreditation (ANCC), and the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), the American Heart Association must ensure fair balance, independence, objectivity, and scientific rigor in all of its individually sponsored or joint sponsored educational activities.
Therefore, all faculty and authors participating in continuing education activities sponsored by the American Heart Association must disclose to the audience: (1) any significant financial relationships with the manufacturer(s) of products from the commercial supporter(s) and/or the manufacturer(s) of products or devices discussed in the activity, and (2) unlabeled/unapproved uses of drugs or devices discussed in the activity. The intent of this disclosure is not to prevent an author with a significant financial or other relationship from contributing but rather to provide participants with information with which they can make their own judgments. It remains for the participants to determine whether the author’s interests or relationships may influence the content.
I. The following authors/faculty have declared NO financial interest(s) or affiliations:
John Field, MD
Louis Gonzales, NREMT-P
Steven Brooks, MD
Elisabeth Sinz, MD
Erik Soderberg, MS
Jo Haag, RN, MS
Brian Eigel, PhD
Unlabeled/unapproved uses of drugs or devices included in this activity:
Students with Special Needs:
The American Heart Association does not provide advice to Training Centers on ADA requirements or any other laws, rules or regulations. Training Centers must determine accommodations necessary to comply with applicable laws. AHA recommends consultation with legal counsel.
Core curriculum change requests for accessibility purposes must be scientifically based and approved in advance in writing by the AHA ECC Science & Product Development department; otherwise a student must be able to successfully perform all course requirements (skills and written tests as indicated) to receive a course completion card. Reasonable accommodations may be made, such as placing the manikin on a table at the height necessary for wheelchair-bound individuals. However the skills must be satisfactorily completed during the testing sessions.
Guidelines for accommodating students with special needs or disabilities may be found in the Program Administration Manual.