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In our study, we reported a lengthy 3 h 33 min one-way transfer time from the Norwegian Arctic to the mainland. However, I fully agree with Ting that we should have focused more on the present system where ECGs may be communicated digitally from the ambulances, district medical centers and local hospitals to cardiologists at the main hospitals. This was however mentioned in our previous article on ambulances. In practice, patients in the Svalbard Islands are now transported to the small hospital unit in Longyearbyen for diagnosis (ECG) and initial treatment. The ECG is then communicated digitally to the cardiologist on duty at the University Hospital of North Norway (UNN) located on the mainland (city of Tromso). The recognition of STEMI can be achieved and advice concerning prehospital thrombolysis given by the cardiologist prior to the lengthy transfer to the mainland. In some settings ECGs may also be communicated from minor bases in the Arctic, but be aware of communication problems this far to the north. I am aware of one case where an ECG was sent by fax from a remotely located base (Jan Mayen) in the Norwegian Arctic to the UNN.

international journal of emergency medicine

Ting JY: Letter to the Editors: The potential role of prehospital thrombolysis and time-critical stroke transfers in the northern Norway aeromedical retrieval system