Key result
A 12-lead ECG tele-transmission system was successfully utilized in 91.8% of 28,557 pre-hospital interventions, aiding in the diagnosis of STEMI, NSTEMI, and arrhythmias to guide appropriate hospital triage.
Why the study?
Does 12-lead ECG tele-transmission and teleconsultation improve diagnostic capacities and target hospital selection in pre-hospital basic medical rescue team operations?
Observational (n=28,557)
No
Does 12-lead ECG tele-transmission and teleconsultation improve diagnostic capacities and target hospital selection in pre-hospital basic medical rescue team operations?
Pre-hospital 12-lead ECG tele-transmission by basic medical rescue teams is highly successful and facilitates appropriate triage of STEMI patients directly to cardiac centers.
Answers are grounded in this paper and cite their sources.
Supports prehospital ECG transmission feasibility for STEMI triage; leaves open need for RCTs to confirm outcome benefits.
BACKGROUND: Basic medical rescue teams (BMRTs) administer aid in the pre-hospital phase to people in a life-threatening condition. A tele-transmission and teleconsultation system (TTaTC) supports the team without a physician. The aim of the presented study was to evaluate the application and spectrum of use of a 12-lead ECG TTaTC in BMRT operations. METHODS: Medical records of BMRTs in Warsaw from September 2009 to August 2013 regarding TTaTC were checked. Successful TTaTC, electrocardiography (ECG) results, sex, age, consultant advice, and decisions of BMRT leaders were analyzed. RESULTS: BMRTs performed 28,557 12-lead ECG transmissions within the analyzed period. The teams recorded 26,208 (91.8%) successful tele-transmissions, while 2,349 tests (8.2%) failed to reach the TC. The average TTaTC time was 6 min 12 s. The most common reason for using the ECG TTaTC was chest pain. ST-segment elevation myocardial infarction (STEMI) was diagnosed in 2.1% of the cases, and non-ST segment elevation myocardial infarction - NSTEMI - in 3.8%. Cardiac arrhythmia was recorded in 20.5% of the events. TTaTC proved to be useful when making decisions on transporting patients to appropriate hospitals. One hundred percent of STEMI cases - all confirmed by TC - were transported directly to cardiac centers. CONCLUSIONS: 1. TTaTC constitutes an increasing support in BMRT everyday operations and is widely used. 2. Standard ECG TTaTC with a physician improved BMRT diagnostic capaci-ties and exerted a beneficial impact on cardiovascular patient segregation and target hospital selection. 3. It seems possible to expand the scope of operations performed by BMRT members based on TTaTC.
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Rekosz et al. (2015) conducted an observational in Suspected cardiovascular diseases (e.g., chest pain, arrhythmias) (n=28,557). 12-lead ECG tele-transmission and teleconsultation system was evaluated on Successful 12-lead ECG tele-transmissions. A 12-lead ECG tele-transmission system was successfully utilized in 91.8% of 28,557 pre-hospital interventions, aiding in the diagnosis of STEMI, NSTEMI, and arrhythmias to guide appropriate hospital triage.
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