Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups.
Telemedically supported paramedic care of acute coronary syndromes was compared to a historical control period of solely conventional on-scene physician care. Quality outcomes based on current guidelines were researched als well as time requirements in both groups. All data was collected prospectively for quality management purposes and analyzed retrospectively after ethical approval by the local ethics committee.
Study Type
OBSERVATIONAL
Enrollment
221
Telemedical support by a physician in a telemedicine centre
University Hospital Aachen
Aachen, Germany
Adverse events
respiratory / circulatory insufficiency, allergic reaction, cardiac arrest
Time frame: prehospital phase (0.5-2 hours)
Correct use of Aspirin
Correct use of Aspirin based on current guidelines
Time frame: prehospital phase (0.5-2 hours)
Correct use of unfractionated Heparin (UFH)
Correct use of UFH based on current guidelines
Time frame: prehospital phase (0.5-2 hours)
Correct use of Morphine
Correct use of Morphine based on current guidelines
Time frame: prehospital phase (0.5-2 hours)
Use of 12-lead-ECG
Use of 12-lead-ECG after first medical contact
Time frame: prehospital phase (0.5-2 hours)
Correct transport destination
hospital with cath lab in ST-segment elevation myocardial infarction or high-risk Non-STEMI-ACS
Time frame: prehospital phase (0.5-2 hours)
Correct use of oxygen
Correct use of Morphine based on current guidelines
Time frame: prehospital phase (0.5-2 hours)
Correct use of Glyceroltrinitrate
Correct use of Glyceroltrinitrate based on current guidelines
Time frame: prehospital phase (0.5-2 hours)
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