Table 1.

Critical elements for prehospital response to STEMI and related cardiac arrest.

1. Hub and Spoke model of care with a pharmacoinvasive strategy using a tiered response system with first responder motor scooters complemented ambulance response for stabilization and transport.

2. Registration process to identify at-risk patients with the use of hospital help desks and a school program to reach potential patients via their children.

3. Initialization of secondary prevention prior to discharge with primary care provider CME programs to enhance continued prevention therapies and behavior change with opportunities for continued engagement of these high risk and post MI patients through texting, calls, and community events.

4. Electronic data collection and process communication via a unique online system for coordination of emergency response, and data collection and continuous feedback to monitor and improve STEMI care.

5. Coordinated emergency response, equipment and personnel from both private and government systems used in a coordinated system.