The utility of the prehospital electrocardiogram

Canadian Journal of Emergency Medicine

Volumn 13, Issue 6, 2011, Pages 372-377

  Davis, Matthew T ^a,b   Dukelow, Adam ^a,b   McLeod, Shelley ^a   Rodriguez, Severo ^b   Lewell, Michael ^a,b  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b Southwest Ontario Regional Base Hospital Program   (Canada)

Author keywords

Acute coronary syndrome; Electrocardiogram; Emergency medical services; Prehospital

Indexed keywords

ACETYLSALICYLIC ACID; GLYCERYL TRINITRATE; SALBUTAMOL;

ACUTE CORONARY SYNDROME; ADULT; AGED; AMBULANCE; ANGINA PECTORIS; CARDIOVASCULAR DISEASE; CHEST TIGHTNESS; CONTROLLED STUDY; DIAGNOSTIC VALUE; DYSPNEA; ELECTROCARDIOGRAM; EMERGENCY CARE; EMERGENCY WARD; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MEDICAL RECORD REVIEW; PARAMEDICAL PERSONNEL; PATIENT CARE; PNEUMONIA; RETROSPECTIVE STUDY; REVIEW; ST SEGMENT DEPRESSION; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; T WAVE; THORAX PAIN; UROSEPSIS;

ADULT; AGED; AGED, 80 AND OVER; AMBULANCES; CONTINUITY OF PATIENT CARE; ELECTROCARDIOGRAPHY; EMERGENCY MEDICAL TECHNICIANS; FEMALE; HUMANS; INTERPROFESSIONAL RELATIONS; MALE; MIDDLE AGED; ONTARIO; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIAN'S PRACTICE PATTERNS; RETROSPECTIVE STUDIES;

EID: 84857415890     PISSN: 14818035     EISSN: None     Source Type: Journal    
DOI: 10.2310/8000.2011.110390     Document Type: Review

References (18)

1. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 7: the era of reperfusion: section 1: acute coronary syndromes (acute myocardial infarction). The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation 2000;102(8 Suppl):I136-9.
2. 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 American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). Circulation 2004;110:588-636, doi:10.1161/01.CIR.0000134791.68010.FA.
3. Crocco TJ, Sayre MR, Aufderheide TP. Prehospital triage of chest pain patients. Prehosp Emerg Care 2002;6:224-8, doi:10.1080/10903120290938599.
4. Jacobs AK, Antman EM, Faxon DP, et al. Development of systems of care for ST-elevation myocardial infarction patients: executive summary. Circulation 2007;116:217-30, doi:10.1161/CIRCULATIONAHA.107.184043.
5. Dracup K, Alonzo AA, Atkins JM, et al. The physician's role in minimizing prehospital delay in patients at high risk for acute myocardial infarction: recommendations from the National Heart Attack Alert Program: Working Group on Educational Strategies to Prevent Prehospital Delay in Patients at High Risk for Acute Myocardial Infarction. Ann Intern Med 1997;126:645-51.
6. Emergency department: rapid identification and treatment of patients with acute myocardial infarction: National Heart Attack Alert Program Coordinating Committee, 60 minutes to Treatment Working Group. Ann Emerg Med 1994;23: 311-29, doi:10.1016/S0196-0644(94)70045-1.
7. Schull MJ, Vaillancourt S, Donovan L, et al. Underuse of prehospital strategies to reduce time to reperfusion for STelevation myocardial infarction patients in 5 Canadian provinces. CJEM 2009;11:473-80.
8. Morrison LJ, Brooks S, Sawadsky B, et al. Prehospital 12-lead electrocardiogram impact on acute myocardial infarction treatment times and mortality: a systematic review. Acad Emerg Med 2006;13:84-9, doi:10.1111/j.1553-2712.2006.tb00989.x.
9. Karagounis L, Ipsen SK, Jessop MR, et al. Impact of fieldtransmitted electrocardiography on time to in-hospital thrombolytic therapy in acute myocardial infarction. Am J Cardiol 1990;66:786-91, doi:10.1016/0002-9149(90)90352-2.
10. Kudenchuk PJ, Maynard C, Cobb LA, et al. Utility of the prehospital electrocardiogram in diagnosing acute coronary syndromes: the Myocardial Infarction Triage and Intervention (MITI) Project. J Am Coll Cardiol 1998;32:17-27, doi:10.1016/S0735-1097(98)00175-2.
11. Kereiakes DJ, Weaver WD, Anderson JL, et al. Time delays in the diagnosis and treatment of acute myocardial infarction: a tale of eight cities. Report from the Pre-hospital Study Group and the Cincinnati Heart Project. Am Heart J 1990;120:773-80, doi:10.1016/0002-8703(90)90192-Z.
12. Turnipseed SD, Amsterdam EA, Laurin EG, et al. Frequency of non-ST segment elevation injury patterns on prehospital electrocardiograms. Prehosp Emerg Care 2010;14: 1-5, doi:10.3109/10903120903144924.
13. Diercks DB, Kontos MC, Chen AY, et al. Utilization and impact of pre-hospital electrocardiograms for patients with acute ST segment elevation myocardial infarction: data from the NCDR (National Cardiovascular Data Registry) ACTION (Acute Coronary Treatment and Intervention Outcomes Network) Registry. J Am Coll Cardiol 2009;53: 161-6, doi:10.1016/j.jacc.2008.09.030.
14. Adams GL, Campbell PT, Adams JL. Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction. Am J Cardiol 2006;98:1160-4, doi:10.1016/j.amjcard.2006.05.042.
15. Brainard AH, Raynovich W, Tandberg D, et al. The prehospital 12-lead electrocardiogram's effect on time of initiation of reperfusion therapy: a systematic review and meta-analysis of existing literature. Am J Emerg Med 2005; 23:351-6, doi:10.1016/j.ajem.2005.02.004.
16. Drew BJ, Sommargren CE, Schindler DM, et al. Novel electrocardiogram configurations and transmission procedures in the prehospital setting: effect on ischemia and arrhythmia determination. J Electrocardiol 2006;39(4 Suppl): S157-60, doi:10.1016/j.jelectrocard.2006.05.033.
17. Cudnik MT, Peacock F, Diercks DB, et al. Prehospital electrocardiograms (ECGs) do not improve the process of emergency department care in hospitals with higher usage of ECGs in non-ST-segment elevation myocardial infarction patients. Clin Cardiol 2009;32:668-74, doi:10.1002/clc.20673.
18. Millar-Craig MW, Joy AV, Adamowicz R, et al. Reduction in treatment delay by paramedic ECG diagnosis of myocardial infarction with direct CCU admission. Heart 1997;78:456-61.