In message <000b01bfec44$5a00db00$9c69073e@p9m9m9>, Adrian Kerner
<[log in to unmask]> writes
>What is the feeling amongst the group, about pre-hospital ECGs?
>
>Within the National Service Framework on 'heart attack & other acute
>coronary syndromes', we are to improve our 'door to needle times' as well as
>'call to needle'.
>
>Could we maximise the time involved and perform pre-hospital ECGs?
>
>What do the pre-hospital people feel?
If a reliable 12-lead showing genuine ST changes can be taken in the
back of a moving ambulance en route to A&E / CCU, then bring them on.
Once in A&E, a 12lead only takes 1-2 mins to run-off. Pre-hospital
diagnosis and lysis only makes sense in rural areas. None of our
catchment area patients are more than 20mins away under blues-and-twos.
This may change if College reforms go ahead and we end up with fewer,
bigger hospitals and double the tranport times. Wonder if they'll
include the costs of that in their revenue predictions ;-)
Dr G Ray
Staff Grade
A&E
Sussex
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