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Prehospital Emergency Care Volume 15, 2011 - Issue 3
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Case Conferences

Prehospital Diagnosis of ST-segment Elevation Myocardial Infarction Using an “All-Posterior” 12-Lead Electrocardiogram

Christopher S. Russi From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.Correspondence[email protected]
, DO,
Lucas A. Myers From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, NREMT-P,
Logan J. Kolb From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, BS,
Kevin Steever From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, NREMT-P,
David M. Nestler From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD, MS,
Mary Christine Bjerke From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, RN, BSN,
Roger D. White From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD &
Henry H. Ting From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD, MBA show all
Pages 410-413 | Published online: 04 Apr 2011

References

  • Young DR, Murinson M, Wilson C, Paramedics as decision makers on the activation of the catheterization laboratory in the presence of acute ST-elevation myocardial infarction. J Electrocardiol. 2010;44:18–22.
  • Rao A, Kardouh Y, Darda S, Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction. Catheter Cardiovasc Interv. 2010;75:174–8.
  • Eckstein M, Cooper E, Nguyen T, Pratt FD. Impact of paramedic transport with prehospital 12-lead electrocardiography on door-to-balloon times for patients with ST-segment elevation myocardial infarction. Prehosp Emerg Care. 2009;13:203–6.
  • Pitta SR, Myers LA, Bjerke CM, White RD, Ting HH. Using prehospital electrocardiograms to improve door-to-balloon time for transferred patients with ST-elevation myocardial infarction: a case of extreme performance. Circ Cardiovasc Qual Outcomes. 2010;3:93–7.
  • Lee CH, Van Gelder CM, Cone DC. Early cardiac catheterization laboratory activation by paramedics for patients with ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms. Prehosp Emerg Care. 2010;14:153–8.

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