Regional Cardiac Good Catch Feedback

PCI Center Submitting a Good Catch

Cardiac Coordinator Submitting

Cardiac Coordinator Email

EMS Agency

EMS Case Number

Date of Patient Arrival to PCI Center

Approximate Time of Patient Arrival

Did EMS Activate Heart Alert Prior to Arrival?

Paramedic Interpretation of ECG

Emergency Medicine Physician Interpretation of ECG

Did Interventionalist Agree with Either Paramedic or Emergency Medicine Physician?

Description of Good Catch

Any Additional Comments That Will Be Helpful

Our Committees