Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study
Abstract Introduction Prehospital transmission of the electrocardiogram (ECG) in ST-elevation myocardial infarction patients has been shown to reduce door to treatment time and improve outcome. Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission t...
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| Veröffentlicht in: | The American journal of emergency medicine 2011-05, Vol.29 (4), p.437-440 |
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| creator | Werman, Howard A., MD Newland, Robert, EMT-P Cotton, Brad, EMT-P, RN, MD |
| description | Abstract Introduction Prehospital transmission of the electrocardiogram (ECG) in ST-elevation myocardial infarction patients has been shown to reduce door to treatment time and improve outcome. Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission to primarily urban areas. The purpose of this investigation was to determine whether prehospital ECGs could be transmitted by nonparamedic personnel. Methods A prospective case series of consecutive patients with a chief complaint of chest pain was conducted. An ECG was transmitted on all eligible patients. Proper lead placement was verified, and the diagnostic quality of the ECG was assessed on emergency department arrival. Time on scene was recorded and compared with historical controls. Results Ninety patients were enrolled in the study. An ECG was transmitted successfully in 89 (98.9%) of 90 patients. Accurate lead placement was noted in 89 (98.9%) of 90, and the ECG was of “diagnostic quality” in 85 (95.5%) of 89 patients. There was no increase in scene time during the study period. Conclusion Prehospital transmission of diagnostic-quality ECG can be reliably performed by nonparamedic providers. |
| doi_str_mv | 10.1016/j.ajem.2010.01.015 |
| format | Article |
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Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission to primarily urban areas. The purpose of this investigation was to determine whether prehospital ECGs could be transmitted by nonparamedic personnel. Methods A prospective case series of consecutive patients with a chief complaint of chest pain was conducted. An ECG was transmitted on all eligible patients. Proper lead placement was verified, and the diagnostic quality of the ECG was assessed on emergency department arrival. Time on scene was recorded and compared with historical controls. Results Ninety patients were enrolled in the study. An ECG was transmitted successfully in 89 (98.9%) of 90 patients. Accurate lead placement was noted in 89 (98.9%) of 90, and the ECG was of “diagnostic quality” in 85 (95.5%) of 89 patients. There was no increase in scene time during the study period. Conclusion Prehospital transmission of diagnostic-quality ECG can be reliably performed by nonparamedic providers.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2010.01.015</identifier><identifier>PMID: 20825850</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Accuracy ; Acute coronary syndromes ; Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical Competence ; Cohort Studies ; Digital transmission ; Early Diagnosis ; Electrocardiography ; Emergency ; Emergency and intensive care: techniques, logistics ; Emergency medical care ; Emergency Medical Services ; Emergency Medical Technicians ; Feasibility Studies ; Humans ; Intensive care medicine ; Intensive care unit. Emergency transport systems. Emergency, hospital ward ; Intubation ; Medical sciences ; Myocardial infarction ; Myocardial Infarction - diagnosis ; Patients ; Reproducibility of Results ; Rural areas ; Rural Health Services ; Scope of practice ; Urban areas</subject><ispartof>The American journal of emergency medicine, 2011-05, Vol.29 (4), p.437-440</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-f4fcd7d5f60399d376686376923176509c3c66cd35d225f35fee5743d31bcb243</citedby><cites>FETCH-LOGICAL-c468t-f4fcd7d5f60399d376686376923176509c3c66cd35d225f35fee5743d31bcb243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675710000173$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24163065$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20825850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Werman, Howard A., MD</creatorcontrib><creatorcontrib>Newland, Robert, EMT-P</creatorcontrib><creatorcontrib>Cotton, Brad, EMT-P, RN, MD</creatorcontrib><title>Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Introduction Prehospital transmission of the electrocardiogram (ECG) in ST-elevation myocardial infarction patients has been shown to reduce door to treatment time and improve outcome. Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission to primarily urban areas. The purpose of this investigation was to determine whether prehospital ECGs could be transmitted by nonparamedic personnel. Methods A prospective case series of consecutive patients with a chief complaint of chest pain was conducted. An ECG was transmitted on all eligible patients. Proper lead placement was verified, and the diagnostic quality of the ECG was assessed on emergency department arrival. Time on scene was recorded and compared with historical controls. Results Ninety patients were enrolled in the study. An ECG was transmitted successfully in 89 (98.9%) of 90 patients. Accurate lead placement was noted in 89 (98.9%) of 90, and the ECG was of “diagnostic quality” in 85 (95.5%) of 89 patients. There was no increase in scene time during the study period. Conclusion Prehospital transmission of diagnostic-quality ECG can be reliably performed by nonparamedic providers.</description><subject>Accuracy</subject><subject>Acute coronary syndromes</subject><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Cohort Studies</subject><subject>Digital transmission</subject><subject>Early Diagnosis</subject><subject>Electrocardiography</subject><subject>Emergency</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Emergency Medical Technicians</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Intubation</subject><subject>Medical sciences</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Patients</subject><subject>Reproducibility of Results</subject><subject>Rural areas</subject><subject>Rural Health Services</subject><subject>Scope of practice</subject><subject>Urban areas</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt-K1DAUxoso7rj6Al5IQMSrjvnTpK2IoMuqCyteOF6HNDmdTe2ks0kr9M538BV8Mp_EU2Z0YS80HBJIfudw8n0nyx4zumaUqRfd2nSwW3OKF5RhyDvZiknB84qV7G62oqWQuSpleZI9SKmjlLFCFvezE04rLitJV9nPTTQh7XxKfghkaAnjeQ_GEejBjnGwJjo_bKPZX3lLxmisD9tEmpmc7yBuIdiZfATnrenJBuxV8Nab8Ov7j7cmeZuICe5_5EUYIe7wxYyQXhJDWsDcxvd-nEkaJzc_zO61pk_w6HieZl_enW_OPuSXn95fnL25zG2hqjFvi9a60slWUVHXTpRKVQr3mgtWKklrK6xS1gnpOJetkC2ALAvhBGtswwtxmj0_1N3H4XqCNGoUxkLfmwDDlHSlJKuqsmZIPr1FdsMUAzanGRW0ForVAil-oGwcUorQ6n30OxNnhPRioe70YqFeLNSUYUhMenIsPTWoyt-UP54h8OwImIRitmig9emGK5gSVC2FXh04QMm-eYg6WY82oNIRvdVu8P_u4_WtdNv7sNj3FWZIN__ViWuqPy_Dtswao7hYKcRv8MvSBg</recordid><startdate>20110501</startdate><enddate>20110501</enddate><creator>Werman, Howard A., MD</creator><creator>Newland, Robert, EMT-P</creator><creator>Cotton, Brad, EMT-P, RN, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</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>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110501</creationdate><title>Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study</title><author>Werman, Howard A., MD ; Newland, Robert, EMT-P ; Cotton, Brad, EMT-P, RN, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-f4fcd7d5f60399d376686376923176509c3c66cd35d225f35fee5743d31bcb243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accuracy</topic><topic>Acute coronary syndromes</topic><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Cohort Studies</topic><topic>Digital transmission</topic><topic>Early Diagnosis</topic><topic>Electrocardiography</topic><topic>Emergency</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Emergency medical care</topic><topic>Emergency Medical Services</topic><topic>Emergency Medical Technicians</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Intubation</topic><topic>Medical sciences</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Patients</topic><topic>Reproducibility of Results</topic><topic>Rural areas</topic><topic>Rural Health Services</topic><topic>Scope of practice</topic><topic>Urban areas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Werman, Howard A., MD</creatorcontrib><creatorcontrib>Newland, Robert, EMT-P</creatorcontrib><creatorcontrib>Cotton, Brad, EMT-P, RN, MD</creatorcontrib><collection>Pascal-Francis</collection><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>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</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>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</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 Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Werman, Howard A., MD</au><au>Newland, Robert, EMT-P</au><au>Cotton, Brad, EMT-P, RN, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>29</volume><issue>4</issue><spage>437</spage><epage>440</epage><pages>437-440</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Abstract Introduction Prehospital transmission of the electrocardiogram (ECG) in ST-elevation myocardial infarction patients has been shown to reduce door to treatment time and improve outcome. Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission to primarily urban areas. The purpose of this investigation was to determine whether prehospital ECGs could be transmitted by nonparamedic personnel. Methods A prospective case series of consecutive patients with a chief complaint of chest pain was conducted. An ECG was transmitted on all eligible patients. Proper lead placement was verified, and the diagnostic quality of the ECG was assessed on emergency department arrival. Time on scene was recorded and compared with historical controls. Results Ninety patients were enrolled in the study. An ECG was transmitted successfully in 89 (98.9%) of 90 patients. Accurate lead placement was noted in 89 (98.9%) of 90, and the ECG was of “diagnostic quality” in 85 (95.5%) of 89 patients. There was no increase in scene time during the study period. Conclusion Prehospital transmission of diagnostic-quality ECG can be reliably performed by nonparamedic providers.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20825850</pmid><doi>10.1016/j.ajem.2010.01.015</doi><tpages>4</tpages></addata></record> |
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| subjects | Accuracy Acute coronary syndromes Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical Competence Cohort Studies Digital transmission Early Diagnosis Electrocardiography Emergency Emergency and intensive care: techniques, logistics Emergency medical care Emergency Medical Services Emergency Medical Technicians Feasibility Studies Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intubation Medical sciences Myocardial infarction Myocardial Infarction - diagnosis Patients Reproducibility of Results Rural areas Rural Health Services Scope of practice Urban areas |
| title | Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study |
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