Open AccessA pilot study of paramedic‐administered, prehospital thrombolysis for acute myocardial infarction
Author(s) -
Sherrid M.,
Greenberg H.,
Marsella R.,
Mathisen D.,
Lynn S.,
Dwyer E.
Publication year - 1990
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960130610
Subject(s) - medicine , thrombolysis , myocardial infarction , emergency department , emergency medical services , emergency medicine , medical emergency , prehospital emergency care , cardiology , nursing
We have implemented a pilot program of supervised paramedic administration of thrombolysis in the field. This program was begun on a small scale by training and equipping one paramedic service of one hospital. Four patients with acute myocardial infarction were rapidly and appropriately treated in the field. We compared these patients with 21 patients who were brought to hospital by ambulance, but treated with thrombolysis conventionally in the emergency department. The patients in the field were treated an average of 86 minutes sooner than the patients treated in the emergency department.