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A citywide protocol for primary PCI in ST-segment elevation myocardial infarctionf

Article Abstract:

A program in which all patients with ST-segment elevation myocardial infarction within a metropolitan area can be referred for primary percutaneous coronary intervention (PCI) is discussed. Findings suggest the best achievement of guideline door-to-door balloon times when trained paramedics identified patients in the field and referred them directly to a specialized center for primary PCI.

Author: Davies, Richard F., Wells, George A., Maloney, Justin, Le May, Michel R., So, Derek Y., Dionne, Richard, Glover, Chris A., Froeschl, Michael P.V., Sherrard, Heather L., Marquis, Jean-Francois, O'Brien, Edward R., Trickett, John, Poirier, Pierre, Ryan, Sheila C., Ha, Andrew, Joseph, Phil G., Labinaz, Marino
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2008
Management dynamics, Management, Comparative analysis, Company business management, Fibrinolysis, Coronary care units

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Advanced life support for out-of-hospital respiratory distress

Article Abstract:

The Ontario Prehospital Advanced Life Support (OPALS) Respiratory Distress Study was performed to assess the incremental benefit with respect to morbidity and mortality. The results showed that the introduction of an emergency medical services (EMS) advanced-life-support program and interventions significantly reduced mortality for patients with shortness of breath.

Author: Stiell, Ian G., Spaite, Daniel W., Wells, George A., Maloney, Justin, Nesbitt, Lisa P., Munkley, Doug, Campeau, Tony, Dagnone, Eugene, Lyver, Marion, Field, Brian, Dreyer, Jon, Toohey, Lorraine Luinstra
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2007
Science & research, Research, Emergency medical services, Respiratory distress syndrome, Life support systems (Critical care), Life support care

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Improving reperfusion in patients with myocardial infarction

Article Abstract:

The reduction in mortality among patients suffering from myocardial infarction mainly by improving reperfusion by primary percutaneous coronary intervention (PCI) is discussed.

Author: Vetrovec, George W.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2008
Health aspects, Editorial, Evaluation, Patient outcomes, Coronary artery bypass, Reperfusion (Physiology)

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Subjects list: Care and treatment, United States, Heart attack, Clinical report
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