Is there a relationship between the severity of chest pain at the time of out-of-hospital emergency care and diagnosis of acute myocardial infarction?
This will be an interesting trial to see the results of and it should help guide the practice of supplemental oxygen delivery to normoxemic patients suffering from acute myocrdial infarction. High flow supplemental oxygen to anyone who is ill or injured is another intervention that is widely carried out by prehospital providers worldwide that is […]
Summary Randomised, controlled, parallel-group multi-centre trial 2041 patients enrolled; 1944 had definitive diagnosis of ACS & documented prehospital delay in seeking help Intervention group (n=972) received standard care plus 40-min individualized education session using motivational techniques which was reinforced 1 month later by telephone Control group (n=972) received standard care On re-admission, delay (in seeking help) time was significantly […]
Abstract BACKGROUND: Little is known about clinically important events and advanced care treatment that patients with ST-segment elevation myocardial infarction (STEMI) encounter in the prehospital setting. OBJECTIVES: We sought to determine the proportion of community patients with STEMI who experienced a clinically important event or received advanced care treatment prior to arrival at a designated […]
Fulltext (free): http://www.implementationscience.com/content/9/1/17 Abstract BACKGROUND: Previous studies have shown wide variations in prehospital ambulance care for acute myocardial infarction (AMI) and stroke. We aimed to evaluate the effectiveness of implementing a Quality Improvement Collaborative (QIC) for improving ambulance care for AMI and stroke. METHODS: We used an interrupted time series design to investigate the effect of […]
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