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in Cardiac, ECG
09/06/14
ecgmagnify

The use of a 4-step algorithm in the electrocardiographic diagnosis of ST-segment elevation myocardial infarction by novice interpreters

Hartman, Baros and Brady present four simple rules that novice (and even experienced) 12 lead ECG readers can use to rule in most STEMI’s

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in Cardiac
30/05/14
glucose

Ultra-acute increase in blood glucose during prehospital phase is associated with worse short-term and long-term survival in ST-elevation myocardial infarction

In patients with STEMI, ultra-acute hyperglycaemia during prehospital phase is associated with increased mortality, impaired cardiac function and increased size of infarct.

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in Cardiac
12/05/14
resources

Air versus ground transport of patients with acute myocardial infarction: experience in a rural-based helicopter medical service

Using HEMS in a rural region allows STEMI patients to benefit from appropriate rescue care with delays similar to those seen in urban settings.

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in Cardiac, ECG
17/04/14
ecg

Effects of prehospital 12-lead ECG on processes of care and mortality in acute coronary syndrome: a linked cohort study from the Myocardial Ischaemia National Audit Project

Prehospital ECG acquisition and interpretation in STEMI and NSTEMI patients may have survival benefits.

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in Case Studies
08/03/14
ecg

Case Study #5: Antero-lateral STEMI

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

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in Guidelines
19/02/14
aha-logo

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

References   1. O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Tommaso CL, Tracy CM, Woo YJ, Zhao DX, Anderson JL, Jacobs AK, […]

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in Cardiac
09/02/14

Clinical events and treatment in prehospital patients with ST-segment elevation myocardial infarction

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 […]

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