Pre-Hospital ECG E-Transmission for Patients with Suspected Myocardial Infarction in the Highlands of Scotland
| Autor: | Calum Murray, Rachel Reilly, Lesley Diack, Derek Stewart, Stephen J Leslie, Charles Bloe, Gordon F. Rushworth |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
Rural Population medicine.medical_specialty Telemedicine Referral cardiac triage Attitude of Health Personnel telehealth Health Toxicology and Mutagenesis medicine.medical_treatment Myocardial Infarction lcsh:Medicine Telehealth Article Electrocardiography medicine Humans Thrombolytic Therapy Myocardial infarction cardiovascular diseases Referral and Consultation Aged business.industry ECG lcsh:R Public Health Environmental and Occupational Health Percutaneous coronary intervention telehealthcare telecardiology pre-hospital thrombolysis Thrombolysis Middle Aged medicine.disease Triage Scotland Emergency medicine Female Myocardial infarction diagnosis Medical emergency business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 11, Iss 2, Pp 2346-2360 (2014) International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 11; Issue 2; Pages: 2346-2360 |
| ISSN: | 1660-4601 |
| Popis: | Patients with ST elevation myocardial infarction (STEMI) require prompt treatment, best done by primary percutaneous coronary intervention (PPCI). However, for patients unable to receive PPCI, immediate pre-hospital thrombolysis (PHT) is the best alternative. Evidence indicates that diagnostic and management support for staff increases the use of PHT. This study aimed to describe the patient demographics and management of patients, to determine any potential inter-area differences in referral rates to the ECG e-transmission service and to explore the views and experiences of key staff involved in ECG e-transmission within NHS Highland. Data from 2,025 patient episodes of ECG e-transmission identified a statistically significant geographical variation in ECG e-transmission and PHT delivery. Scottish Ambulance Service (SAS) staff were more likely than GPs to deliver PHT overall, however, GPs were more likely to deliver in remote areas. Interviews with six Cardiac Care Unit (CCU) nurses and six SAS staff highlighted their positive views of ECG e-transmission, citing perceived benefits to patients and interprofessional relationships. Poor access to network signal was noted to be a barrier to engaging in the system. This study has demonstrated that a specialist triage service based on e-transmission of ECGs in patients with suspected STEMI can be implemented in a diverse geographical setting. Work is needed to ensure equity of the service for all patients. |
| Databáze: | OpenAIRE |
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