Helicopter Scene Response for a STEMI Patient Transported Directly to the Cardiac Catheterization Laboratory

At 2:10 pm, a 40-year-old Caucasian woman with no known medical history called 911 complaining of substernal, crushing chest pain that had started 2 to 3 hours before she called emergency medical services (EMS). EMS arrived at 2:24 pm and obtained a 12-lead electrocardiogram (ECG) diagnostic of ST-s...

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Bibliographic Details
Published in:Air medical journal 2011-11, Vol.30 (6), p.289-292
Main Authors: Palmer, Christopher, MD, McMullan, Jason, MD, Knight, William, MD, Gunderman, Matt, RN, Hinckley, William, MD, FACEP, CMTE
Format: Article
Language:English
Subjects:
Adult
Air Ambulances
Analgesics, Opioid - therapeutic use
Anti-Anxiety Agents - therapeutic use
Aspirin - therapeutic use
Cardiac Catheterization
Chest Pain - diagnosis
Chest Pain - drug therapy
Chest Pain - therapy
Coronary Vessels - physiopathology
Electrocardiography
Emergency
Female
Health administration
Humans
Internal Medicine
Morphine - therapeutic use
Myocardial Infarction - diagnosis
Nitroglycerin - therapeutic use
Ohio
Ondansetron - therapeutic use
Oxygen - therapeutic use
Stents
Thrombosis - therapy
Treatment Outcome
Vasodilator Agents - therapeutic use
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Summary:At 2:10 pm, a 40-year-old Caucasian woman with no known medical history called 911 complaining of substernal, crushing chest pain that had started 2 to 3 hours before she called emergency medical services (EMS). EMS arrived at 2:24 pm and obtained a 12-lead electrocardiogram (ECG) diagnostic of ST-segment elevation myocardial infarction (STEMI) at 2:36 pm. University Air Care was requested by local EMS at 2:42 pm to respond directly to the cardiac scene in rural Ohio for rapid transport to a facility capable of performing percutaneous coronary intervention (PCI). The closest PCI-capable facility was approximately 35 minutes away by ground or 13 minutes by air. The closest non-PCI hospital was approximately 20 minutes away by ground ( Fig. 1 ).
ISSN:1067-991X
1532-6497
DOI:10.1016/j.amj.2011.08.005