The prehospital 12-lead electrocardiogram: impact on management of the out-of-hospital acute coronary syndrome patient. Am J Emerg Med 2003 Mar;21(2):136-42
Date
04/03/2003Pubmed ID
12671816DOI
10.1053/ajem.2003.50011Scopus ID
2-s2.0-0037353095 (requires institutional sign-in at Scopus site) 34 CitationsAbstract
The electrocardiogram (ECG), when applied in the prehospital setting, has a significant effect on the patient with chest pain. The potential effect on the patient includes both diagnostic and therapeutic issues, including the diagnosis of acute myocardial infarction (AMI) and the indication for thrombolysis. The prehospital ECG may also detect an ischemic change that has resolved with treatment delivered by emergency medical services (EMS) prior to the patient's arrival in the emergency department (ED). Perhaps the most significant issue in the management of chest-pain patients involves the effect of the out-of-hospital ECG on the ED-based delivery of reperfusion therapy, such as thrombolysis. In AMI patients with ST-segment elevations, it has been conclusively demonstrated that information obtained from the prehospital ECG reduces the time to hospital-based reperfusion treatment. Importantly, these benefits are encountered with little increase in EMS resource use or on-scene time.
Author List
Ferguson JD, Brady WJ, Perron AD, Kielar ND, Benner JP, Currance SB, Braithwaite S, Aufderheide TPAuthor
Tom P. Aufderheide MD Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedCell Phone
Chest Pain
Coronary Disease
Electrocardiography
Electrodes
Emergency Medical Services
Female
Humans
Male
Middle Aged
Myocardial Infarction
Thrombolytic Therapy
