2019 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Guidelines on the Acute Management of ST-Elevation Myocardial Infarction: Focused Update on Regionalization and Reperfusion  Graham C. Wong, MD, MPH, Michelle Welsford, MD, Craig Ainsworth, MD, Wael Abuzeid, MD, MSc, Christopher B. Fordyce, MDCM, MHS, MSc, Jennifer Greene, BSc, ACP, Thao Huynh, MD, MSc, PhD, Laurie Lambert, MPH, PhD, Michel Le May, MD, Sohrab Lutchmedial, MDCM, Shamir R. Mehta, MD, MSc, Madhu Natarajan, MD, MSc, Colleen M. Norris, RN, MN, PhD, Christopher B. Overgaard, MD, MSc, Michele Perry Arnesen, MHA, BSN, RN, Ata Quraishi, MBBS, Jean François Tanguay, MD, Mouheiddin Traboulsi, MD, Sean van Diepen, MD, MSc, Robert Welsh, MD, David A. Wood, MD, Warren J. Cantor, MD Paul W. Armstrong, Akshay Bagai, MD, MHS, Kevin Bainey, MD, MSc, John Cairns, MD, Sheldon Cheskes, MD, John Ducas, MD, Vlad Dzavik, MD, Sanjit Jolly, MD, Jennifer McVey, MD, MSc, Erick Schampaert, MD, Gregory Schnell, MD, Derek So, MD Graham C. Wong, MD, MPH, Michelle Welsford, MD, Craig Ainsworth, MD, Wael Abuzeid, MD, MSc, Christopher B. Fordyce, MDCM, MHS, MSc, Jennifer Greene, BSc, ACP, Thao Huynh, MD, MSc, PhD, Laurie Lambert, MPH, PhD, Michel Le May, MD, Sohrab Lutchmedial, MDCM, Shamir R. Mehta, MD, MSc, Madhu Natarajan, MD, MSc, Colleen M. Norris, RN, MN, PhD, Christopher B. Overgaard, MD, MSc, Michele Perry Arnesen, MHA, BSN, RN, Ata Quraishi, MBBS, Jean François Tanguay, MD, Mouheiddin Traboulsi, MD, Sean van Diepen, MD, MSc, Robert Welsh, MD, David A. Wood, MD, Warren J. Cantor, MD Paul W. Armstrong, Akshay Bagai, MD, MHS, Kevin Bainey, MD, MSc, John Cairns, MD, Sheldon Cheskes, MD, John Ducas, MD, Vlad Dzavik, MD, Sanjit Jolly, MD, Jennifer McVey, MD, MSc, Erick Schampaert, MD, Gregory Schnell, MD, Derek So, MD  Canadian Journal of Cardiology  Volume 35, Issue 2, Pages 107-132 (February 2019) DOI: 10.1016/j.cjca.2018.11.031 Copyright © 2018 Canadian Cardiovascular Society Terms and Conditions

Figure 1 ST-elevation myocardial infarction (STEMI) reperfusion strategies. EMS, emergency medical services; FL, fibrinolysis; FMC, first medical contact; PCI, percutaneous coronary intervention; PPCI, primary percutaneous coronary intervention. Canadian Journal of Cardiology 2019 35, 107-132DOI: (10.1016/j.cjca.2018.11.031) Copyright © 2018 Canadian Cardiovascular Society Terms and Conditions

Figure 2 Prehospital management of ST-elevation myocardial infarction (STEMI). EMS, emergency medical services; ECG, electrocardiogram; FMC, first medical contact; PCI, percutaneous coronary intervention; PPCI, primary PCI; SaO2, oxygen saturation. Canadian Journal of Cardiology 2019 35, 107-132DOI: (10.1016/j.cjca.2018.11.031) Copyright © 2018 Canadian Cardiovascular Society Terms and Conditions

Figure 3 Procedural aspects of primary percutaneous coronary intervention (PPCI). FMC, first medical contact; GP IIb/IIIa, glycoprotein IIb/IIIa; I.C., intracoronary; I.V., intravenous; PCI, percutaneous coronary intervention. Canadian Journal of Cardiology 2019 35, 107-132DOI: (10.1016/j.cjca.2018.11.031) Copyright © 2018 Canadian Cardiovascular Society Terms and Conditions