Document Detail


The prehospital electrocardiogram.
MedLine Citation:
PMID:  11399386     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although widely used in Europe, the prehospital 12-lead electrocardiogram (EKG) has seen only limited use in this country. Reported benefits of the 12-lead EKG include shortening the door-to-needle time, accelerating the initiation of reperfusion therapy, and overall improving the prehospital and hospital management and outcome of patients with acute myocardial infarction. The field EKG also provides the basis for prehospital fibrinolysis. Concerns still exist, however, regarding the best means of providing real-time field interpretation of the prehospital EKG and the potential for inappropriate field time delay, triage, and treatment of patients. Moreover, questions remain about the overall clinical and cost benefit of expanding this resource universally. The following article reviews the role of prehospital EKG in caring for patients with acute coronary syndromes.
Authors:
R J Patel; G M Vilke; T C Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  21     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-06-11     Completed Date:  2001-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35-9     Citation Subset:  IM    
Affiliation:
The University of California San Diego School of Medicine, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92103-8676, USA.
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MeSH Terms
Descriptor/Qualifier:
Electrocardiography*
Emergency Medical Services / methods*
Humans
Myocardial Infarction / diagnosis*,  drug therapy
Predictive Value of Tests
Thrombolytic Therapy
Time Factors
Triage / methods*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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