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Prehospital Electrocardiography: A Review of the Literature.
MedLine Citation:
PMID:  22137883     Owner:  NLM     Status:  Publisher    
INTRODUCTION: The American Heart Association and other scientific guidelines recommend emergency medical services acquire prehospital (PH) electrocardiography (ECG) in all patients with symptoms of acute coronary syndrome. The purpose of this article is to critically review the scientific literature about PH ECG. METHODS: Using multiple search terms, we searched the PubMed and Web of Science databases for relevant information. Search limiters were used: human, research (clinical trials, experimental), core journals, and adult. All articles about the clinical effects of PH ECG published between 2001 and 2011 were retained, in addition to a landmark study from 1997. RESULTS: Our search yielded a total of 105 articles when all years of publication were considered. When the same search was limited to articles published between 2001 and 2011 for new and current data, 45 articles were returned. A total of 7 articles about the clinical effects of PH ECG were retained for this review. Articles were conceptualized and organized by clinical effects of PH ECG (timing, reperfusion rate, death, ejection fraction, reinfarction, and stroke). PH ECG has been associated with reduced PH delay time, increased use of reperfusion interventions, earlier diagnosis, and faster time totreatment. DISCUSSION: PH ECG plays a major role in emergency cardiac systems of care and can facilitate early intervention by identifying patients with acute coronary syndrome sooner.
Jessica K Zègre Hemsey; Barbara J Drew
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-2
Journal Detail:
Title:  Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association     Volume:  -     ISSN:  1527-2966     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605913     Medline TA:  J Emerg Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Mosby, Inc.
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