Paramedic transtelephonic communication to cardiologist of clinical and electrocardiographic assessment for rapid reperfusion of ST-elevation myocardial infarction
Abstract Background/purpose We tested the hypothesis that paramedic recognition of ST-elevation myocardial infarction (STEMI) and cardiologist activation of the cardiac catheterization laboratory without transmission of the electrocardiogram reduces door-to-balloon times. Methods We studied a consec...
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| Veröffentlicht in: | Journal of electrocardiology 2007-05, Vol.40 (3), p.265-270 |
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| creator | Strauss, David G., BA, EMT-I Sprague, Paula Quintal, RN, CCRC Underhill, Kevin, EMT-P Maynard, Charles, PhD Adams, George L., MD Kessenich, Amy, BSN Sketch, Michael H., MD Berger, Peter B., MD Marcozzi, David, MD Granger, Christopher B., MD Wagner, Galen S., MD |
| description | Abstract Background/purpose We tested the hypothesis that paramedic recognition of ST-elevation myocardial infarction (STEMI) and cardiologist activation of the cardiac catheterization laboratory without transmission of the electrocardiogram reduces door-to-balloon times. Methods We studied a consecutive series of patients suspected to have STEMI who were taken to the cardiac catheterization laboratory in the 6-month period before hotline implementation (historical controls) and during the first year of hotline use (intervention group, hotline; emergency medical service patients without hotline, concurrent controls). Results Emergency medical services activated the hotline 47 times, and 25 patients were subsequently taken to the catheterization laboratory. Patients who received PCI involving hotline use (n = 20) had significantly shorter door-to-balloon times (58 minutes; 25th-75th percentile, 52-73 minutes) than historical controls (n = 15) (112 minutes; 25th-75th percentile, 81-137; P < .0001) and concurrent controls (n = 15) (92 minutes; 25th-75th percentile, 76-112; P = .019). Conclusions Paramedic transtelephonic communication to cardiologist of clinical and electrocardiogram assessment resulted in a 54-minute reduction in door-to-balloon time for patients with STEMI. |
| doi_str_mv | 10.1016/j.jelectrocard.2006.11.006 |
| format | Article |
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Methods We studied a consecutive series of patients suspected to have STEMI who were taken to the cardiac catheterization laboratory in the 6-month period before hotline implementation (historical controls) and during the first year of hotline use (intervention group, hotline; emergency medical service patients without hotline, concurrent controls). Results Emergency medical services activated the hotline 47 times, and 25 patients were subsequently taken to the catheterization laboratory. Patients who received PCI involving hotline use (n = 20) had significantly shorter door-to-balloon times (58 minutes; 25th-75th percentile, 52-73 minutes) than historical controls (n = 15) (112 minutes; 25th-75th percentile, 81-137; P < .0001) and concurrent controls (n = 15) (92 minutes; 25th-75th percentile, 76-112; P = .019). Conclusions Paramedic transtelephonic communication to cardiologist of clinical and electrocardiogram assessment resulted in a 54-minute reduction in door-to-balloon time for patients with STEMI.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/j.jelectrocard.2006.11.006</identifier><identifier>PMID: 17292381</identifier><identifier>CODEN: JECAB4</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cardiology - methods ; Cardiovascular ; Cell Phone ; Coronary Artery Bypass - methods ; Electrocardiography - methods ; Emergency Medical Services - methods ; Female ; Humans ; Male ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - surgery ; Myocardial Reperfusion - methods ; North Carolina ; Quality Assurance, Health Care - methods ; Remote Consultation - methods ; Telemedicine - methods ; Time and Motion Studies ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of electrocardiology, 2007-05, Vol.40 (3), p.265-270</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers May/Jun 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-4041e6e5c93a46d7f93898b4ab852e5ad5d34f603c5feee4cb93e991c427e3bc3</citedby><cites>FETCH-LOGICAL-c526t-4041e6e5c93a46d7f93898b4ab852e5ad5d34f603c5feee4cb93e991c427e3bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/216203083?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17292381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strauss, David G., BA, EMT-I</creatorcontrib><creatorcontrib>Sprague, Paula Quintal, RN, CCRC</creatorcontrib><creatorcontrib>Underhill, Kevin, EMT-P</creatorcontrib><creatorcontrib>Maynard, Charles, PhD</creatorcontrib><creatorcontrib>Adams, George L., MD</creatorcontrib><creatorcontrib>Kessenich, Amy, BSN</creatorcontrib><creatorcontrib>Sketch, Michael H., MD</creatorcontrib><creatorcontrib>Berger, Peter B., MD</creatorcontrib><creatorcontrib>Marcozzi, David, MD</creatorcontrib><creatorcontrib>Granger, Christopher B., MD</creatorcontrib><creatorcontrib>Wagner, Galen S., MD</creatorcontrib><title>Paramedic transtelephonic communication to cardiologist of clinical and electrocardiographic assessment for rapid reperfusion of ST-elevation myocardial infarction</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>Abstract Background/purpose We tested the hypothesis that paramedic recognition of ST-elevation myocardial infarction (STEMI) and cardiologist activation of the cardiac catheterization laboratory without transmission of the electrocardiogram reduces door-to-balloon times. Methods We studied a consecutive series of patients suspected to have STEMI who were taken to the cardiac catheterization laboratory in the 6-month period before hotline implementation (historical controls) and during the first year of hotline use (intervention group, hotline; emergency medical service patients without hotline, concurrent controls). Results Emergency medical services activated the hotline 47 times, and 25 patients were subsequently taken to the catheterization laboratory. Patients who received PCI involving hotline use (n = 20) had significantly shorter door-to-balloon times (58 minutes; 25th-75th percentile, 52-73 minutes) than historical controls (n = 15) (112 minutes; 25th-75th percentile, 81-137; P < .0001) and concurrent controls (n = 15) (92 minutes; 25th-75th percentile, 76-112; P = .019). Conclusions Paramedic transtelephonic communication to cardiologist of clinical and electrocardiogram assessment resulted in a 54-minute reduction in door-to-balloon time for patients with STEMI.</description><subject>Cardiology - methods</subject><subject>Cardiovascular</subject><subject>Cell Phone</subject><subject>Coronary Artery Bypass - methods</subject><subject>Electrocardiography - methods</subject><subject>Emergency Medical Services - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - surgery</subject><subject>Myocardial Reperfusion - methods</subject><subject>North Carolina</subject><subject>Quality Assurance, Health Care - methods</subject><subject>Remote Consultation - methods</subject><subject>Telemedicine - methods</subject><subject>Time and Motion Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNksFu1DAQhi0EotvCKyCrB24JYztxYg5IqEBBqgRSy9lynEnrkMSLnVTa5-FFcZQFqp44jT3-55uxfxNyziBnwOSbPu9xQDsHb01ocw4gc8byFJ6QHSsFz-pCwFOyA-A8g0rIE3IaYw8Ailf8OTlhFVdc1GxHfn0zwYzYOkvnYKY4J_L-zk9pb_04LmlhZucnOnu6dnN-8LcuztR31A5uPR6omVr6YCLnb4PZ3yWEiRFjHHGaaecDTVnX0oB7DN0SV2qiXN9kqfZ-6zIeNkKCuqkzwa7ZF-RZZ4aIL4_xjHz_9PHm4nN29fXyy8X7q8yWXM5ZAQVDiaVVwhSyrTolalU3hWnqkmNp2rIVRSdB2LJDxMI2SqBSzBa8QtFYcUZeb9x98D8XjLMeXbQ4DGZCv0RdQSErVaokPH8k7P0SpjSb5kxyEFCLJHq7iWzwMQbs9D640YSDZqBXH3WvH_qoVx81YzqFVPzq2GFpkjv_So_GJcGHTYDpQe4dBh2tw8kmJ0NC6ta7_-vz7hHmj6k_8IDx77WYjlyDvl5_1PqhQAKUjFfiN8YRz8w</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Strauss, David G., BA, EMT-I</creator><creator>Sprague, Paula Quintal, RN, CCRC</creator><creator>Underhill, Kevin, EMT-P</creator><creator>Maynard, Charles, PhD</creator><creator>Adams, George L., MD</creator><creator>Kessenich, Amy, BSN</creator><creator>Sketch, Michael H., MD</creator><creator>Berger, Peter B., MD</creator><creator>Marcozzi, David, MD</creator><creator>Granger, Christopher B., MD</creator><creator>Wagner, Galen S., MD</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Paramedic transtelephonic communication to cardiologist of clinical and electrocardiographic assessment for rapid reperfusion of ST-elevation myocardial infarction</title><author>Strauss, David G., BA, EMT-I ; Sprague, Paula Quintal, RN, CCRC ; Underhill, Kevin, EMT-P ; Maynard, Charles, PhD ; Adams, George L., MD ; Kessenich, Amy, BSN ; Sketch, Michael H., MD ; Berger, Peter B., MD ; Marcozzi, David, MD ; Granger, Christopher B., MD ; Wagner, Galen S., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-4041e6e5c93a46d7f93898b4ab852e5ad5d34f603c5feee4cb93e991c427e3bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Cardiology - methods</topic><topic>Cardiovascular</topic><topic>Cell Phone</topic><topic>Coronary Artery Bypass - methods</topic><topic>Electrocardiography - methods</topic><topic>Emergency Medical Services - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - surgery</topic><topic>Myocardial Reperfusion - methods</topic><topic>North Carolina</topic><topic>Quality Assurance, Health Care - methods</topic><topic>Remote Consultation - methods</topic><topic>Telemedicine - methods</topic><topic>Time and Motion Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strauss, David G., BA, EMT-I</creatorcontrib><creatorcontrib>Sprague, Paula Quintal, RN, CCRC</creatorcontrib><creatorcontrib>Underhill, Kevin, EMT-P</creatorcontrib><creatorcontrib>Maynard, Charles, PhD</creatorcontrib><creatorcontrib>Adams, George L., MD</creatorcontrib><creatorcontrib>Kessenich, Amy, BSN</creatorcontrib><creatorcontrib>Sketch, Michael H., MD</creatorcontrib><creatorcontrib>Berger, Peter B., MD</creatorcontrib><creatorcontrib>Marcozzi, David, MD</creatorcontrib><creatorcontrib>Granger, Christopher B., MD</creatorcontrib><creatorcontrib>Wagner, Galen S., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strauss, David G., BA, EMT-I</au><au>Sprague, Paula Quintal, RN, CCRC</au><au>Underhill, Kevin, EMT-P</au><au>Maynard, Charles, PhD</au><au>Adams, George L., MD</au><au>Kessenich, Amy, BSN</au><au>Sketch, Michael H., MD</au><au>Berger, Peter B., MD</au><au>Marcozzi, David, MD</au><au>Granger, Christopher B., MD</au><au>Wagner, Galen S., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paramedic transtelephonic communication to cardiologist of clinical and electrocardiographic assessment for rapid reperfusion of ST-elevation myocardial infarction</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>40</volume><issue>3</issue><spage>265</spage><epage>270</epage><pages>265-270</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><coden>JECAB4</coden><abstract>Abstract Background/purpose We tested the hypothesis that paramedic recognition of ST-elevation myocardial infarction (STEMI) and cardiologist activation of the cardiac catheterization laboratory without transmission of the electrocardiogram reduces door-to-balloon times. Methods We studied a consecutive series of patients suspected to have STEMI who were taken to the cardiac catheterization laboratory in the 6-month period before hotline implementation (historical controls) and during the first year of hotline use (intervention group, hotline; emergency medical service patients without hotline, concurrent controls). Results Emergency medical services activated the hotline 47 times, and 25 patients were subsequently taken to the catheterization laboratory. Patients who received PCI involving hotline use (n = 20) had significantly shorter door-to-balloon times (58 minutes; 25th-75th percentile, 52-73 minutes) than historical controls (n = 15) (112 minutes; 25th-75th percentile, 81-137; P < .0001) and concurrent controls (n = 15) (92 minutes; 25th-75th percentile, 76-112; P = .019). Conclusions Paramedic transtelephonic communication to cardiologist of clinical and electrocardiogram assessment resulted in a 54-minute reduction in door-to-balloon time for patients with STEMI.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17292381</pmid><doi>10.1016/j.jelectrocard.2006.11.006</doi><tpages>6</tpages></addata></record> |
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| subjects | Cardiology - methods Cardiovascular Cell Phone Coronary Artery Bypass - methods Electrocardiography - methods Emergency Medical Services - methods Female Humans Male Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - surgery Myocardial Reperfusion - methods North Carolina Quality Assurance, Health Care - methods Remote Consultation - methods Telemedicine - methods Time and Motion Studies Time Factors Treatment Outcome |
| title | Paramedic transtelephonic communication to cardiologist of clinical and electrocardiographic assessment for rapid reperfusion of ST-elevation myocardial infarction |
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