New 2017 STEMI bypass - In the RPPEO 2014 Powerpoint it states a STEMI must be recognized prior to a patient going VSA and subsequent ROSC in order to be considered for bypass. It does state "Pending Final Approval." The EHSB document states a contraindication is VSA without a ROSC but doesn't specifically state in the standard a STEMI must be identified before. Example would be patient goes VSA, is resuscitated and is now conscious complaining of chest pain, 12 lead indicates STEMI positive
Please refer to your service for STEMI questions, as the the current STEMI bypass criteria now falls under the BLS standard.