Collaborative decision-making between paramedics and CCU nurses based on 12-lead ECG telemetry expedites the delivery of thrombolysis in ST elevation myocardial infarction

Emergency Medicine Journal

Volumn 25, Issue 6, 2008, Pages 370-374

  McLean, Scott ^a   Egan, G ^b   Connor, P ^b   Flapan, A D ^a  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^b SCOTTISH AMBULANCE SERVICE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

FIBRINOLYTIC AGENT; HEPARIN; TENECTEPLASE;

ADULT; AGED; AMBULANCE; ARTICLE; BLOOD CLOT LYSIS; CLINICAL FEATURE; CORONARY CARE UNIT; DECISION SUPPORT SYSTEM; ELECTROCARDIOGRAM; EMERGENCY CARE; FEMALE; HEART INFARCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; NURSE; OBSERVATIONAL STUDY; PARAMEDICAL PERSONNEL; PRIORITY JOURNAL; REPERFUSION; RETROSPECTIVE STUDY; ST SEGMENT ELEVATION; TELEMETRY; THORAX PAIN; UNITED KINGDOM;

ADOLESCENT; ADULT; AGED; AMBULANCES; COOPERATIVE BEHAVIOR; CORONARY CARE UNITS; DECISION MAKING; ELECTROCARDIOGRAPHY; EMERGENCY MEDICAL TECHNICIANS; FEMALE; HUMANS; INTERPROFESSIONAL RELATIONS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; NURSING STAFF, HOSPITAL; RETROSPECTIVE STUDIES; TELEMEDICINE; TELEMETRY; THROMBOLYTIC THERAPY; TIME FACTORS;

EID: 45149131728     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.2007.052746     Document Type: Article

References (27)

1. Boersma E, Mass ACP, Dekkers JW. et al. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 1986;348:771-5.
2. Lamfers EJP, Schut A, Hertzberger DP, et al. Prehospital versus hospital fibrinolytic therapy using automated versus cardiologist electrocardiographic diagnosis of myocardial infarction: abortion of myocardial infarction and unjustified thrombolytic therapy. Am Heart J 2004;147:509-15.
3. Weaver WD. Time to thrombolytic treatment: factors affecting delay and their influence on outcome. J Am Coll Cardiol 1995; 25:3-9S.
4. Foster DB, Dufendach JH, Barkdoll CM, et al. Prehospital recognition of AMI using independent nurse/paramedic 12-lead ECG evaluation: Impact on in-hospital times to thrombolysis in a rural community hospital. Am J Emerg Med 1994;12:25-31.
5. Scottish Intercollegiate Guidelines Network (SIGN). Acute coronary syndromes: a national clinical guideline. Edinburgh: SIGN, 2007.
6. Rawles J, on behalf of the GREAT group. Halving of mortality at 1 year by domiciliary thrombolysis in the Grampian region early anistreplase trial (GREAT). J Am Coll Cardiol 1994;23:1-5.
7. Fairhurst R. Improving paramedic confidence in treating AMI. Ambulance UK 2006;21:92-3.
8. 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.
9. Pell AC, Miller HC, Robertson CE, et al. Effect of "fast track" admission for acute myocardial infarction on delay to thrombolysis. BMJ 1992;304:83-7.
10. Canto JG, Zalenski RJ, Ornato JP, et al. Use of emergency services in acute myocardial infarction and subsequent quality of care: observations from the national registry of myocardial infarction 2. Circulation 2002;106:3018-23.
11. Deakin CD, Sherwood DM, Smith A, et al. Does telephone triage of emergency (999) calls using advanced medical priority dispatch (AMPDS) with Department of Health (DH) call prioritisation effectively identify patients with an acute coronary syndrome? An audit of 42 657 emergency calls to Hampshire Ambulance Service NHS Trust. Emerg Med J 2006;23:232-5.
12. Pedley DK, Beedie S, Ferguson J. Mobile telemetry for pre-hospital thrombolysis: problems and solutions. J Telemed Telecare 2005; 11(Suppl 1):78-80.
13. Goff DC Jr, Feldman HA, McGovern RG, et al. Prehospital delay in patients hospitalised with heart attack symptoms in the United States: The REACT trial. Rapid Early Action for Coronary Treatment (REACT) study group. Am Heart J 1999;138:1046-57.
14. Herlitz J, Karlson BW, Bang A, et al. Characteristics and outcome for patients with acute chest pain in relation to whether or not they were transported by ambulance. Eur J Emerg Med 2000; 7:195-200.
15. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: executive summary. A report of the ACC/AHA Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines on the Management of Patients With Acute Myocardial Infarction). Circulation 2004; 110:588-636.
16. Terkelsen CJ, Lassen JF, Norgaard BL, et al. Reduction of treatment delay in patients with ST-elevation myocardial infarction: impact of pre-hospital diagnosis and direct referral to primary percutaneous coronary intervention. Eur Heart J 2005; 26:770-7.
17. Weaver WD, Cerqueira M, Hallstrom AO, et al. Prehospital-initiated vs hospital-initiated thrombolytic therapy: The Myocardial Infarction Triage and Intervention trial. JAMA 1993; 270:1211-6.
18. Anon. Prehospital thrombolytic therapy in patients with suspected acute myocardial infarction. The European Myocardial Infarction Project group. N Engl J Med 1993;329:383-9.
19. Myocardial Infarction National Audit Project (MINAP). How the NHS manages heart attacks - 4th public report. London: Royal College of Physicians, 2005.
20. Himbert D, Juliard JM, Steg PG, et al. Primary coronary angioplasty for acute myocardial infarction with contraindication to thrombolysis. Am J Cardiol 1993;71:377-81.
21. Joint Royal Colleges Ambulance Liaison Committee. http://jrcalc.org.uk (accessed 10 April 2008).
22. Castle N, Owen R, Vincent R, et al. What percentages of patients are suitable for prehospital thrombolysis? Emerg Med J 2006;23:444-5.
23. Hanson TC, Williamson D. Identifying barriers to prehospital thrombolysis in the treatment of acute myocardial infarction. Emerg Med J 2006;23:650-3.
24. Fox KAA, Steg PG, Eagle KA, et al. Decline in rates of death and heart failure in acute coronary syndromes. Temporal trends - 1999 to 2006. Global Registry of Acute Coronary Events. JAMA 2007; 297:1892-900.
25. Quinn T, MacDermott A, Caunt J. Determining patients' suitability for thrombolysis: Coronary Care Nurses' agreement with an expert cardiological 'gold standard' as assessed by clinical and electrocardiographic 'vignettes.' Intensive Crit Care Nurs 1998; 14:219-24.
26. Grim P, Feldman T, Martin M, et al. Cellular telephone transmission of 12-lead electrocardiograms from ambulance to hospital. Am J Cardiol 1987;60:715-20.
27. Becker L, Larsen MP, Eisenberg MS. Incidence of cardiac arrest during self-transport for chest pain. Ann Emerg Med 1996; 28:612-6.