State of Washington Prehospital Cardiac Triage Destination ...
Assess Transport Time and Determine Destination by Level of Prehospital Care* BLS/ILS ALS Unstable patients (life-threatening arrhythmias, severe respiratory distress, shock) unresponsive to EMS treatment should be taken to the closest hospital. YES * Slight modifications to the transport times may be made in county operating procedures. See page 2. Consider ALS and air transport for all transports greater than 30 minutes.
Elevated cardiac markers (if available): CK-MB or Troponin I in the "high probability" range of the device used. Only definitely positive results should be used in triage decisions. D. Determine destination – The general guideline is to take a patient meeting the triage criteria directly to a Level I Cardiac Hospital
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