Variability in the Treatment of Prehospital Hypoglycemia: A Structured Review of EMS Protocols in the United States.

Background: In many industries, limiting variability in process has been associated with a reduction in errors. Hypoglycemia is a common prehospital diabetic emergency for which most EMS systems have a treatment protocol.

Objective: To examine the treatment variability for prehospital hypoglycemia within EMS protocols in the U.

Integration of pre-hospital electrocardiograms and ST-elevation myocardial infarction receiving center (SRC) networks: impact on Door-to-Balloon times across 10 independent regions.

Objectives: The aim of this study was to evaluate the rate of timely reperfusion for ST-elevation myocardial infarction (STEMI) with primary percutaneous coronary intervention (PPCI) in regional STEMI Receiving Center (SRC) networks.

Background: The American College of Cardiology Door-to-Balloon (D2B) Alliance target is a >75% rate of D2B View Article and Find Full Text PDF

An approach to shorten time to infarct artery patency in patients with ST-segment elevation myocardial infarction.

We developed a regional strategy to decrease the time to percutaneous coronary intervention (PCI) for patients with acute ST-segment elevation myocardial infarction (STEMI). Protocols were created for paramedics and referring hospitals to identify and directly triage all patients with STEMI to a single PCI center. Time to PCI reperfusion and in-hospital mortality were assessed in 233 consecutive patients with STEMI.