Limited benefits of ambulance telemetry in delivering early thrombolysis: A randomised controlled trial

Emergency Medicine Journal

Volumn 22, Issue 3, 2005, Pages 209-215

  Woollard, Malcolm ^a   Pitt, K ^b   Hayward, A J ^b   Taylor, N C ^c  

^a JAMES COOK UNIVERSITY HOSPITAL   (United Kingdom)

^b WELSH AMBULANCE SERVICES NHS TRUST   (United Kingdom)

^c WEST WALES GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

FIBRINOLYTIC AGENT;

AGED; AMBULANCE; ANALYTICAL ERROR; ANAMNESIS; ARTICLE; BLOOD CLOT LYSIS; BLOOD PRESSURE MEASUREMENT; CARDIOLOGY; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY CARE UNIT; ECHOCARDIOGRAPHY; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HOSPITAL ADMISSION; HUMAN; INTERPERSONAL COMMUNICATION; ISCHEMIC HEART DISEASE; MALE; MEDICAL ASSESSMENT; MEDICAL DECISION MAKING; MEDICAL DOCUMENTATION; PARAMEDICAL PERSONNEL; PATIENT SELECTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULSE OXIMETRY; RANDOMIZED CONTROLLED TRIAL; RURAL AREA; SENSITIVITY AND SPECIFICITY; SYMPTOM; TELEMETRY; TIME; UNITED KINGDOM;

AGED; AGED, 80 AND OVER; AMBULANCES; CORONARY CARE UNITS; ELECTROCARDIOGRAPHY; ENGLAND; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PROSPECTIVE STUDIES; REMOTE CONSULTATION; RURAL HEALTH SERVICES; SENSITIVITY AND SPECIFICITY; TELEMETRY; THROMBOLYTIC THERAPY;

EID: 14944348674     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.2003.013482     Document Type: Article

References (15)

1. Boersma E, Maas AC, Deckers JW, et al. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 1996;348:771-5.
2. Department of Health. National service framework for coronary heart disease. London: Department of Health, 2000.
3. National Assembly for Wales. Tackling coronary beart disease in Wales: implementing through evidence. Cardiff: National Assembly for Wales, 2001.
4. Aufderheide TP, Hendley GE, Woo J, et al. A prospective evaluation of prehospital 12-lead application in chest pain patients. J Electrocardiol 1992;24(suppl):8-13.
5. Weaver WD, Eisenburg MS, Hallstrom AP, et al. Myocardial Infarction Triage and Intervention Project - phase 1: Patient characteristics and feasibility of prehospital initiation of thromblytic therapy. JACC 1990;15:925-31.
6. Karagounis L, Ipsen SK, Jessop MR, et al. Impact of field-transmitted electrocardiography on time to in-hospital thrombolytic therapy in acute myocardial infarction. Am J Cardiol 1990;66:786-91.
7. Aufderheide TP, Hendley GE, Keelan MH, et al. Milwaukee Prehospital Chest Pain project - phase 1: Feasibility and accuracy of prehospital thrombolytic candidate selection. Am J Cardiol 1992;69:991-6.
8. Altman DG. Statistics and ethics in medical research. III. How large a sample? BMJ 1980;281:1336-8.
9. Pedley DK, Bisset K, Connolly EM, et al. Prospective observational cohort study of time saved by prehospital thrombolysis for ST elevation myocardial infarction delivered by paramedics. BMJ 2003;327:22-6.
10. Rawles JM. Quantification of the benefit of earlier thrombolytic therapy: five-year results of the Grampian Region Early Anistreplase Trial (GREAT). J Am Coll Cardio 1997; 30:1181-6.
11. Saltissi S, Mushahwar SS. The management of acute myocardial infarction. Postgrad Med J 1995;71:534-41.
12. Gibler WB, Kereiakes DJ, Dean EN, et al. Prehospital diagnosis and treatment of acute myocardial infarction: a north-south perspective. The Cincinnati Heart Project and the Nashville Prehospital TPA Trial. Am Heart J 1991;121:1-11.
13. Keriakes DJ, Gibler WB, Martin LH, et al. Relative importance of emergency medical system transport and the prehospital electrocardiogram on reducing hospital time delay to therapy for acute myocardial infarction: a preliminary report from the Cincinnati Heart Project. Am Heart J 1992;123:835-40.
14. Pitt K. Pre-hospital selection of patients for thrombolysis by paramedics. Emerg Med J 2002;19:260-3.
15. Keeling P, Hughes D, Price L, et al. Safety and feasibility of prehospital thrombolysis carried out by paramedics. BMJ 2003;327:27-8.