Paramedic ability to recognize ST-segment elevation myocardial infarction on prehospital electrocardiograms

Prehospital Emergency Care

Volumn 17, Issue 2, 2013, Pages 203-210

  Mencl, Francis ^a   Wilber, Scott ^a   Frey, Jennifer ^b   Zalewski, Jon ^c   Maiers, Jarrad Francis ^d   Bhalla, Mary C ^a,c  

^a Department of Emergency Medicine ^*  (United States)

^b Emergency Medicine Research Center   (United States)

^c AKRON CITY HOSPITAL   (United States)

^d San Juan Regional Medical Center   (United States)

Author keywords

ECG; Paramedic; STEMI

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; EDUCATION; ELECTROCARDIOGRAPHY; EMERGENCY HEALTH SERVICE; HEALTH CARE SURVEY; HEART INFARCTION; HUMAN; MULTICENTER STUDY; RESCUE PERSONNEL; SENSITIVITY AND SPECIFICITY; UNITED STATES; CLINICAL TRIAL; MYOCARDIAL INFARCTION;

CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; ELECTROCARDIOGRAPHY; EMERGENCY MEDICAL SERVICES; EMERGENCY MEDICAL TECHNICIANS; HEALTH CARE SURVEYS; HUMANS; MYOCARDIAL INFARCTION; OHIO; SENSITIVITY AND SPECIFICITY;

EID: 84874597693     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2012.755585     Document Type: Article

References (18)

1. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction). J Am Coll Cardiol. August 4, 2004;44(3):E1-E211.
2. De Luca G, Suryapranata H, Ottervanger JP, Antman EM. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts. Circulation. 2004;109:1223-5.
3. Antman EM, Hand M, Armstrong PW, et al. 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee. Circulation. 2008;117: 296-329.
4. Cheskes S, Turner L, Foggett R, et al. Paramedic contact to balloon in less than 90 minutes: a successful strategy for STsegment elevation myocardial infarction bypass to primary percutaneous coronary intervention in a Canadian emergency medical system. Prehosp Emerg Care. 2011;15:490-8.
5. Ting HH, Krumholz HM, Bradley EH, et al. Implementation and integration of prehospital ECGs into systems of care for acute coronary syndrome: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, Emergency Cardiovascular Care Committee, Council on Cardiovascular Nursing, and Council on Clinical Cardiology. Circulation. 2008;118:1066-79.
6. Brown JP, Mahmud E, Dunford JV, Ben-Yehuda O. Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in STsegment elevation acute myocardial infarction. Am J Cardiol. 2008;101:158-61.
7. Le May MR, Davies RF, Dionne R, et al. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. Am J Cardiol. 2006;98:1329-33.
8. Dorsch MF, Greenwood JP, Priestley C, et al. Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention. Am Heart J. 2008;155:1054-8.
9. Lee CH, Van Gelder CM, Cone DC. Early cardiac catheterization laboratory activation by paramedics for patients with ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms. Prehosp Emerg Care. 2010;14: 153-8.
10. Clark CL, Berman AD, McHugh A, Roe EJ, Boura J, Swor RA. Hospital process intervals, not EMS time intervals, are the most important predictors of rapid reperfusion in EMS patients with ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2012;16:115-20.
11. Trivedi K, Schuur JD, Cone DC. Can paramedics read ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms? Prehosp Emerg Care. 2009;13: 207-14.
12. Le May MR, Dionne R, Maloney J, et al. Diagnostic performance and potential clinical impact of advanced care paramedic interpretation of ST-segment elevation myocardial infarction in the field. CJEM. 2006;8:401-7.
13. Whitbread M, Leah V, Bell T, Coats TJ. Recognition of ST elevation by paramedics. Emerg Med J. 2002;19:66-7.
14. Feldman JA, Brinsfield K, Bernard S, White D, Maciejko T. Realtime paramedic compared with blinded physician identification of ST-segment elevation myocardial infarction: results of an observational study. Am J Emerg Med. 2005;23:443-8.
15. Crowder JS, Hubble MW, Gandhi S, et al. Prehospital administration of tenecteplase for ST-segment elevation myocardial infarction in a rural EMS system. Prehosp Emerg Care. 2011;15:499-505.
16. Bhalla MC, Mencl F, Gist MA, Wilber ST, Zalewski J. Prehospital electrocardiographic computer identification of ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2012;Oct 15 (Epub ahead of print).
17. Verbeek PR, Ryan D, Turner L, Craig AM. Serial prehospital 12-lead electrocardiograms increase identification of STsegment elevation myocardial infarction. Prehosp Emerg Care. 2012;16:109-14.
18. Selker HP, Beshansky JR, Ruthazer R, et al. Emergency medical service predictive instrument-aided diagnosis and treatment of acute coronary syndromes and ST-segment elevation myocardial infarction in the IMMEDIATE trial. Prehosp Emerg Care. 2011;15:139-48.