Abstract
Delays related to recognition of symptoms by the patient and prompt initiation of a call for help to the Emergency Medical Services System (EMSS) have yet to be effectively addressed and are subject to ongoing studies. Recommendations relating to reducing delays in EMSS response and transport times to hospital have been addressed in Chapter 24. Reducing inappropriate delays in the emergency department is within the purview of physicians, nurses, and hospital staff and should be achievable through application of the process of continuous quality improvement.
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References
Kereiakes DJ, Weaver WD, Anderson JL, Feldman T, Gibier B, Aufderheide T, Williams DO, Martin LH, Anderson IC, Martin JS, et al. Time delays in the diagnosis and treatment of acute myocardial infarction: A tale of eight cities. Report from the Pre-hospital Study Group and the Cincinnati Heart Project. Am HeartJ 120:773, 1990.
Sharkey SW, Brunette DD, Ruiz E, Hession WT, Wysham DG, Godenberg IF, Hodges M. An analysis of time delays preceding thrombolysis for acute myocardial infarction. JAMA 262:3171, 1989.
Kline EM, Smith DD, Martin JS, Dracup K, Woodlief LH, Granger CB, Califf RM. In-hospital treatment delays in patients treated with thrombolytic therapy: A report of the GUSTO Time to Treatment Substudy (abstr). Circulation 86(Suppl. 1):702, 1992.
Moses HW, Bartolozzi JJ, Koester DL, Colliver JA, Taylor GJ, Mikell FL, Dove JT, Katholi RE, Woodruff RC, Miller BD, et al. Reducing delay in the emergency room in administration ot thrombolytic therapy for myocardial infarction associated with ST elevation. Am J Cardiol 68:251, 1991.
National Heart Attack Alert Coordinating Committee, 60 Minutes to Treatment Working Group. Emergency Department: Rapid Identification and Treatment of Patients with Acute Myocardial Infarction. Ann Emerg Med 23:311, 1994.
American Heart Association/Emergency Cardiac Care Committee and Subcommittees. Guidelines for cardiopulmonary resuscitation and emergency cardiac care. III: Adult advanced cardiac life support. JAMA 268:2199, 1992.
Weaver WD, Cerqueira M, Hallstrom AP, Litwin PE, Martin JS, Kudenchuk PJ, Eisenberg M (for the Myocardial Infarction Triage and Intervention Project Group). Prehospital-initiated vs. hospital-initiated thrombolytic therapy: The Myocardial Infarction Triage and Intervention Trial. JAMA 270:1211,1993.
Higgins GL, Lambrew CT, Hunt E, et al. Expediting the early hospital care of the adult patient with nontraumatic chest pain: Impact of a modified ED triage protocol. Am J Emerg Med 11:576, 1993.
Kereiakes DJ, Gibler WB, Martin IH, Pieper KS, Anderson LC, Cincinnati Heart Project Study Group. Relative importance of emergency medical system transport and the prehospital electrocardiogram on reducing hospital time delay to therapy for acute myocardial infarction: A preliminary report from the Cincinnati Heart Project. Am Heart J 123:835, 1992.
Weaver WD, Eisenberg MS, Martin JS, Litwin PE, Shaeffer SM, Ho MT, Kudenchuk P, Hallstrom AP, Cerqueira MD, Copass MK. Myocardial infarction triage and intervention project-phase I: Patient characteristics and feasibility of prehospital initiation of thrombolytic therapy. J Am Coll Cardiol 15:925, 1990.
Lambrew CT, Weaver WD, French WJ, Bowlby L, Rubison M for the National Registry of Myocardial Infarction. Impact of hospital protocols on time to treatment with thrombolytic therapy. J Am Coll Card 23(Suppl. A):14A, 1994.
Kudenchuk PJ, Ho MT, Weaver WD, Litwin PE, Martin JS, Eisenberg MS, Hallstrom AP, Cobb LA (for the MITI Project Investigators). Accuracy of computer-interpreted electrocardiography in selecting patients for thrombolytic therapy. J Am Coll Cardiol 17:1486, 1991.
Selker HP. Coronary care unit triage decision aids: How do we know when they work [editorial]? Am J Med 87:491, 1989.
Gonzalez ER, Jones LA, Ornaro JP, Bleecker GC, Strauss MJ (Virginia Thrombolytic Study Group). Hospital delays and problems with thrombolytic administration in patients receiving thrombolytic therapy: A multicenter prospective assessment. Ann Emerg Med 21:1215, 1992.
Cannon CP, Antman EM, Walls R, Braunwald E. Time as an adjunctive agent to thrombolytic therapy. J Thromb Thrombolys 1:27, 1994.
Lambrew CT. Emergency department triage of patients with nontraumatic chest pain. ACC Curr J Rev 4:61, 1995.
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Lambrew, C.T. (1997). Delays in Treatment of Acute Myocardial Infarction in the Emergency Department: Reducing Door to Drug Time. In: Becker, R.C. (eds) Textbook of Coronary Thrombosis and Thrombolysis. Developments in Cardiovascular Medicine, vol 193. Springer, Boston, MA. https://doi.org/10.1007/978-0-585-33754-8_22
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DOI: https://doi.org/10.1007/978-0-585-33754-8_22
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