Key result
Emergency physician activation of the cardiac catheterization laboratory for suspected STEMI was appropriate in 89.8% of cases, with truly unnecessary activation occurring in only 5.1% of cases.
Why the study?
Does single page activation of the cardiac catheterization laboratory by emergency physicians result in an acceptable rate of appropriate activations for patients with suspected STEMI?
Population
117 patients with suspected ST-segment elevation myocardial infarction who had emergency physician cardiac…
Design
Cohort, Cardiologists reviewing ECGs and clinical information were blinded to…
Authors
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May support emergency physician STEMI activation to minimize delays; leaves open randomized confirmation of outcomes.
Cohort (n=117)
No
Does single page activation of the cardiac catheterization laboratory by emergency physicians result in an acceptable rate of appropriate activations for patients with suspected STEMI?
Direct activation of the cardiac catheterization laboratory by emergency physicians for suspected STEMI is highly appropriate and results in a low rate of truly unnecessary activations, supporting its use to reduce door-to-balloon times.
Kim et al. (2011) conducted a cohort in Suspected ST-segment elevation myocardial infarction (STEMI) (n=117). Emergency physician activation of the cardiac catheterization laboratory was evaluated on Appropriateness of CCL activation (cardiologist-confirmed STEMI). Emergency physician activation of the cardiac catheterization laboratory for suspected STEMI was appropriate in 89.8% of cases, with truly unnecessary activation occurring in only 5.1% of cases.
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