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