Why the study?
Despite recommendations, historically a third of suspected ACS patients under EMS care did not receive a prehospital ECG, prompting an updated evaluation of care and outcomes in the primary PCI era.
Does prehospital 12-lead ECG improve 30-day mortality and reperfusion rates in patients presenting to EMS with suspected ACS?
Population
Patients presenting to EMS with suspected ACS
Comparison
PHECG vs no PHECG
Design
Explanatory, mixed-method study protocol
Follow-up
30 days
Authors
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PHECG was associated with better survival yet missed in one-third of eligible ACS patients; leaves open equitable EMS implementation strategies.
Does prehospital 12-lead ECG improve 30-day mortality and reperfusion rates in patients presenting to EMS with suspected ACS?
This protocol outlines a mixed-methods study to evaluate the current use, clinical impact, and barriers to implementation of prehospital 12-lead ECGs for suspected ACS in the primary PCI era.
Gavalova et al. (2019) studied this question.
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