PMID- 24566058
OWN - NLM
STAT- MEDLINE
DCOM- 20150212
LR  - 20211021
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 11
IP  - 2
DP  - 2014 Feb 21
TI  - Pre-hospital ECG E-transmission for patients with suspected myocardial infarction 
      in the highlands of Scotland.
PG  - 2346-60
LID - 10.3390/ijerph110202346 [doi]
AB  - 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.
FAU - Rushworth, Gordon F
AU  - Rushworth GF
AD  - Highland Clinical Research Facility, Centre for Health Science, Old Perth Road, 
      Inverness IV2 3JH, UK. gordon.rushworth@nhs.net.
FAU - Bloe, Charlie
AU  - Bloe C
AD  - Cardiac Unit, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, UK. 
      charles.bloe@nhs.net.
FAU - Diack, H Lesley
AU  - Diack HL
AD  - School of Pharmacy and Life Sciences, Robert Gordon University, Riverside East, 
      Garthdee Road, Aberdeen AB10 7GJ, UK. h.l.diack@rgu.ac.uk.
FAU - Reilly, Rachel
AU  - Reilly R
AD  - School of Pharmacy and Life Sciences, Robert Gordon University, Riverside East, 
      Garthdee Road, Aberdeen AB10 7GJ, UK. r.reilly1@rgu.ac.uk.
FAU - Murray, Calum
AU  - Murray C
AD  - School of Pharmacy and Life Sciences, Robert Gordon University, Riverside East, 
      Garthdee Road, Aberdeen AB10 7GJ, UK. calummurray14@hotmail.co.uk.
FAU - Stewart, Derek
AU  - Stewart D
AD  - School of Pharmacy and Life Sciences, Robert Gordon University, Riverside East, 
      Garthdee Road, Aberdeen AB10 7GJ, UK. d.stewart@rgu.ac.uk.
FAU - Leslie, Stephen J
AU  - Leslie SJ
AD  - Cardiac Unit, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, UK. 
      stephen.leslie@nhs.net.
LA  - eng
PT  - Journal Article
DEP - 20140221
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Aged
MH  - Attitude of Health Personnel
MH  - *Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis/drug therapy
MH  - Referral and Consultation/statistics & numerical data
MH  - Rural Population
MH  - Scotland
MH  - *Telemedicine
MH  - Thrombolytic Therapy
PMC - PMC3945603
EDAT- 2014/02/26 06:00
MHDA- 2015/02/13 06:00
PMCR- 2014/02/01
CRDT- 2014/02/26 06:00
PHST- 2013/12/16 00:00 [received]
PHST- 2014/01/29 00:00 [revised]
PHST- 2014/02/13 00:00 [accepted]
PHST- 2014/02/26 06:00 [entrez]
PHST- 2014/02/26 06:00 [pubmed]
PHST- 2015/02/13 06:00 [medline]
PHST- 2014/02/01 00:00 [pmc-release]
AID - ijerph110202346 [pii]
AID - ijerph-11-02346 [pii]
AID - 10.3390/ijerph110202346 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2014 Feb 21;11(2):2346-60. doi: 
      10.3390/ijerph110202346.