Using HEMS in a rural region allows STEMI patients to benefit from appropriate rescue care with delays similar to those seen in urban settings.
Prehospital ECG acquisition and interpretation in STEMI and NSTEMI patients may have survival benefits.
Can prehospital records show concordance between myocardial infarction symptoms when compared with hospital records and ED diagnosis?
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?
A 46 year old male presents to ambulance crew with central crushing chest pain, radiating to his shoulder blades. He had no previous medical history of significance, a non-smoker and non-drinker. Clinical Findings: Antero-septal STEMI
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 […]
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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