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It is not rare for patients with acute myocardial infarction (AMI) to die suddenly outside the hospital or for their condition to become more serious as a result of delays in treatment, and setting up an effective pre-hospital medical system before admission to a hospital is an urgent task for reducing the AMI-related mortality rate. Because half of all patients who die as a result of AMI do so before reaching a hospital, the 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science (G2010) advised that the interval between emergency medical service (EMS) contact with a patient and balloon inflation to achieve reperfusion (EMS-toballoon time) should be no more than 90 minutes. Also, the American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines1) recommends minimizing the total ischemic time and a first medical contactto-balloon time of within 90 minutes for patients with AMI. Although pre-hospital 12-lead electrocardiogram (ECG) recordings can provide advance information to the hospital, it is important to shorten both the time between the arrival of the patient at the hospital and the recording of the first ECG as well as the time between the ECG recording and the start of reperfusion therapy,2–5) a practice that has not been widely adopted in Japan. We have developed a mobile telemedicine system (MTS)6) that utilizes mobile communications via cellular phones, making it possible to transmit biological information, including 12-lead ECG data, blood pressures, respiration rates, pulse rates and in-vehicle images acquired with a small camera, continuously from an ambulance while the patient is being transported to the destination hospital in real time. We have started to apply our newly developed MTS, which continuously transmits biological information from ambulances in real time, and tested the validity of this technology in a preUse of a Mobile Telemedicine System during the Transport of Emergency Myocardial Infarction Patients Would Be an Effective Technology in the Pre-hospital Medical Setting

nihon kan shikkan gakkai zasshi

Use of a Mobile Telemedicine System during the Transport of Emergency Myocardial Infarction Patients Would Be an Effective Technology in the Pre-hospital Medical Setting