Early inter-hospital transfer of patients with myocardial infarction without a doctor, paramedic or nurse on board: results from a French regional emergency care network

Table 1 Recommended transfer types

	Low-risk patients	Intermediate-risk patients	High-risk patients
NSTEMI
Remote hospital to PCI centre	Ambulance if uncomplicated;^a > 72 h after admission	SCA-Alp if uncomplicated;^a 24–72 h after admission	MICU if uncomplicated;^a < 24 h after admission; or complicated
Return to remote hospital	Ambulance if uncomplicated;^a > 12 h after successful PCI	SCA-Alp if uncomplicated;^a < 12 h after successful PCI
STEMI
Remote hospital (or home) to PCI centre	MICU	MICU	MICU
Return to remote hospital	Ambulance if uncomplicated;^b > 48 h after PCI	SCA-Alp if uncomplicated;^b 24–48 h after successful PCI	Remain in PCI centre if complicated or < 24 h

MICU mobile intensive care unit, NSTEMI non-ST-segment elevation myocardial infarction, PCI percutaneous coronary intervention, SCA-Alp ambulance with trained drivers and an automatic defibrillator, STEMI ST-segment elevation myocardial infarction
^aNo acute cardiac failure condition, no underlying ventricular arrhythmia, and no ST-segment depression > 3 mm in ≥2 leads
^bNo cardiac failure, no recurrent angina, no significant ventricular arrhythmia

ISSN: 1471-227X