Door to needle times of 12 minutes are possible in one emergency department

Emergency department thrombolysis improves door to needle times.

OBJECTIVE To identify the effect on door to needle (DTN) time of moving the site of thrombolysis delivery from the coronary care unit (CCU) to the emergency department (ED). To ascertain if moving the site of thrombolysis enables appropriate use of thrombolysis. DESIGN Prospective cohort study. SETTING CCU and ED of a 450 bed Scottish district general hospital without on-site primary angiop...

A door-to-needle time of 30 minutes or less for myocardial infarction thrombolysis is possible in rural emergency departments.

OBJECTIVE The Canadian Emergency Cardiac Care Coalition, the American Heart Association and similar groups have established a benchmark for the administration of thrombolytics in acute myocardial infarction (AMI) care as a door-to-needle (DTN) time of 30 minutes or less. Previous research suggests that this goal is not being achieved in Canada. The purpose of this study was to determine whether...

Reduction in Door-to-Needle Time after Transfer of Thrombolysis Site from CCU to Emergency Department

Objective. Early restoration of coronary perfusion by thrombolysis or percutaneous coronary intervention is the main modality of treatment to salvage the ischemic myocardium. The earlier the procedure is completed, the greater the benefit is in saving myocardium and restoring its functions. The aim of the study is to compare the door-to-needle time (DNT) in acute ST elevation myocardial infarct...

Door-to-Needle Times: Let's Not Leave Smaller Hospitals Behind.

Improving Door-to-Needle Times for Acute Ischemic Stroke

Faster treatment with intravenous alteplase (tissue-type plasminogen activator) results in better outcomes. Although the benchmark door-to-needle time (DTN) has been set at 60 minutes, many centers have been able to exceed this benchmark with median times from 20 to 51 minutes. These local efforts have been supported by national and international efforts to reduce DTN time. For example, the Ame...