Studies of ambulance patients with ischemic heart disease. 1. The outcome of pre-hospital life-threatening arrhythmias in patients receiving electrocardiographic telemetry and therapeutic interventions
Bibliographic Data
| ID | 11038134 |
|---|---|
| Authors | Michael W Pozen (Johns Hopkins University), D D Fried, D Fried (Johns Hopkins University), S Smith (0000-0002-3024-9937), S T Smith (Johns Hopkins University), L V Lindsay, Luke Lindsay (Johns Hopkins University), GUSTAV C VOIGT (Johns Hopkins University) |
| Year | 1977 |
| Volume | 67 |
| Issue | 6 |
| Pages | 527-531 |
| Publication date | 1977-06-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.67.6.527 |
| PMID | 869084 |
| OpenAlex | W2074891036 |
| Language | EN |
| Citations received | 7 |
| References cited | 12 |
Patient delay in seeking medical assistance for acute ischemic heart disease and the incidence of potentially life-threatening arrhythmias en route to the hospital were examined in a 22-month community trial of ambulance telemetry. Of 7,654 patients transported, 179 who had electrocardiograms (ECGS) transmitted were found to have had acute MIs or acute myocardial ischemic events. Fifty per cent of these patients summoned an ambulance within 30 minutes and 72 per cent within two hours after the onset of acute symptoms. Fifty-eight patients had potentially life-threatening arrhythmias. Interventions with drugs and/or defibrillation was required in 22 patients with or without cardiopulmonary resuscitation (CPR); intervention with CPR alone was required in six patients. Twelve of these 28 patients survived through hospital admission and six were alive at three months. The relatively low outcome/input ratio of this experience necessitates re-evaluation of the epidemiological characteristics and patient selection criteria in populations considered for telemetry
Cardiopulmonary resuscitation · Defibrillation · Incidence (geometry) · Intensive care medicine · Psychological intervention · Resuscitation · Cardiac Arrest and Resuscitation · ECG Monitoring and Analysis · Emergency Medicine · Epidemiology · Healthcare Technology and Patient Monitoring · Internal Medicine · Medicine
An Analytic Method for the Evaluation of Rural Emergency Medical Service Development
Implications of Alternative Sampling Strategies for Emergency Medical Service Evaluation
Out-of-hospital cardiac arrest
Paramedic response time and survival from cardiac arrest
Pre-hospital coronary care
On Abortions and Public Policy
On pre-hospital coronary care
| Citations per year | 0.14 |
|---|---|
| Citation span | 1977 - 1981 (5) |
| Highly cited | No |