Open AccessJournal Article
An eight-month evaluation of prehospital 12-lead electrocardiogram monitoring in Baltimore County.
TLDR
The results of this study indicated that 12-lead ECG acquisition by district officers did not extend the on-scene time.Abstract:
The purpose of this evaluation was to determine if a prehospital 12-lead electrocardiogram (ECG) led to a delay in transportation when compared to non-12-lead ECG, and if it led to improved "door to drug" time. A quasi-experimental design was used to compare on-scene times for suspected acute myocardial infarction (AMI) patients; a comparison was made between advanced life support (ALS) units without 12-lead ECG and those who were augmented by equipped EMS district officer units. Our control group had an on-scene time of 22.05 minutes; the mean on-scene time for the experimental group was 21.85 minutes. The results of this study indicated that 12-lead ECG acquisition by district officers did not extend the on-scene time.read more
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Journal ArticleDOI
Pre-Hospital 12-Lead Electrocardiography Programs: A Call for Implementation by Emergency Medical Services Systems Providing Advanced Life Support—National Heart Attack Alert Program (NHAAP) Coordinating Committee; National Heart, Lung, and Blood Institute (NHLBI); National Institutes of Health
TL;DR: Analysis of the cost of providing this service to the community must include consideration of the demonstrated benefits of more rapid treatment of patients with STEMI and the resulting time savings advantage shown to accompany the use of P12ECG programs.
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Prehospital 12-lead electrocardiography impact on acute myocardial infarction treatment times and mortality: a systematic review.
Laurie J. Morrison,Laurie J. Morrison,Steven C. Brooks,Steven C. Brooks,Bruce Sawadsky,Bruce Sawadsky,Andrew C. McDonald,Andrew C. McDonald,P. Richard Verbeek,P. Richard Verbeek +9 more
TL;DR: For patients with AMI, the literature would suggest that PHECG and advanced ED notification reduces in hospital time to fibrinolysis.
Journal ArticleDOI
Accuracy and clinical effect of out-of-hospital electrocardiography in the diagnosis of acute cardiac ischemia: a meta-analysis.
TL;DR: Out-of-hospital ECG has excellent diagnostic performance for AMI and very good performance for ACI, and the effect on long-term mortality is unknown.
Journal ArticleDOI
Real-time paramedic compared with blinded physician identification of ST-segment elevation myocardial infarction: results of an observational study.
TL;DR: Highly trained paramedics in an urban emergency medical services system can identify patients with STEMI as accurately as blinded physician reviewers.
Journal ArticleDOI
Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention☆
Michael F. Dorsch,John P Greenwood,Claire Priestley,Kathryn Somers,Carole Hague,Jonathan Blaxill,Stephen B. Wheatcroft,Alan F. Mackintosh,James M. McLenachan,Daniel J. Blackman +9 more
TL;DR: Direct admission of patients with suspected STEMI from the ambulance service to the catheterization laboratory significantly reduces time to treatment in primary PCI and allows the 90-minute door-to-balloon time target to be reliably achieved.