SCGH ED Code STEMI & Suspected Acute Coronary Syndrome Pathways

Thanks to the efforts of James Rippey, Dan Pixley and Cameron Walters here are the current SCGH ED STEMI and ACS pathways.

SCGH ED: Code STEMI Protocol (updated 12/2022):

SCGH ED: Suspected Acute Coronary Syndrome (ACS) Pathway:

High Risk ECG’s:

Troponin Decision Tool:

Rapid Access Chest Pain Clinic (RACPC):

• This clinic is currently running once per week on a Wednesday afternoon 13:30 to 17:00
• Access via eReferral if determined suitable after d/w the cardiology registrar as below:

SCGH: Suspected Acute Coronary Syndrome Pathway –
Supporting and Explanatory Documentation:

SCGH ED Chest Pain Discharge Advice Sheet

Note: for Low Risk Acute Coronary Syndrome Group as determined by the above algorithm:

Date implemented – 02/2026
Revision date – 02/2029
Author – Dan Pixley (ED), Cameron Walters (Cardiology) – Endorsed by Dr Tom Cassidy (ED) and Dr Avadhesh Saraswat (Cardiology)