Failure to improve door-to-needle time by switching to emergency physician-initiated thrombolysis for ST elevation myocardial infarction
نویسندگان
چکیده
منابع مشابه
Failure to improve door-to-needle time by switching to emergency physician-initiated thrombolysis for ST elevation myocardial infarction
INTRODUCTION Achieving target door-needle times for ST elevation myocardial infarction remains challenging. Data on emergency department (ED) doctor-led thrombolysis in developing countries and factors causing delay are limited. OBJECTIVES To assess the effect on door-needle times by transferring responsibility for thrombolysis to the ED doctors and to identify predictors of prolonged door-ne...
متن کاملDoor-to-balloon time and ST-segment elevation myocardial infarction.
I would like to congratulate the authors for their paper in the mini-focus issue on the ST-segment elevation myocardial infarction (STEMI) (1), for calling attention to the fact that door-toballoon time might not be the best metric to assess successful treatment of STEMI (2). In their State-of-the-Art paper, the authors clearly point out that measuring door-to-balloon time ignores, for the most...
متن کاملDoor-to-balloon and door-to-needle time for ST-segment elevation myocardial infarction in the U.S.
n a recent thought-provoking commentary, Terkelsen et al. (1) rom Denmark recommended that the committee responsible for urther updates to the American College of Cardiology/American eart Association (ACC/AHA) guidelines for ST-segment eleation myocardial infarction (STEMI) and the D2B (Door-toalloon) Alliance shift focus toward initiates that would reduce ystem delay in primary percutaneous co...
متن کاملImproving door to needle times with nurse initiated thrombolysis.
OBJECTIVE To evaluate the effect of nurse initiated thrombolysis on door to needle time (the interval between arriving at the hospital and starting thrombolytic treatment) in patients with acute myocardial infarction. DESIGN Comparison of door to needle times before and after the employment of nurses trained and approved to initiate thrombolysis without prescription by a doctor but with a pro...
متن کاملA 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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Postgraduate Medical Journal
سال: 2013
ISSN: 0032-5473,1469-0756
DOI: 10.1136/postgradmedj-2012-131174