A media campaign aiming at reducing delay times and increasing the use of ambulance in AMI

Blohm, M; Hartford, Marianne; Karlson, Björn W.; Karlsson, Thomas; Herlitz, Johan

doi:10.1016/0735-6757(94)90147-3

Cited by 43 publications

(63 citation statements)

References 8 publications

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“…Small-and large-scale interventions have been conducted to reduce prehospital delay time for symptoms of AMI and increase utilization of the emergency medical services for AMI patients (Blohm, Hartford, Karlson, Karlsson, & Herlitz, 1994;Blohm, Hartford, Karlson, Luepker, & Herlitz, 1996;Eppler, Eisenberg, Schaeffer, Meischke, & Larsen, 1994;Gaspoz et al, 1996;Herlitz et al, 1992;Ho, Eisenberg, Litwin, Schaeffer, & Damon, 1989;Luepker et al, 2000;Meischke et al, 1997). These interventions have been only moderately successful.…”

Section: Seeking Prompt Medical Care For Symptoms Of Amimentioning

confidence: 96%

Evaluation of a Public Education Program Delivered by Firefighters on Early Recognition of a Heart Attack

Meischke

Diehr

Rowe³

et al. 2004

Eval Health Prof

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The Heart Attack Survival Kit (HASK) project is a prospective, randomized trial, testing the effectiveness of an intervention delivered door-to-door by firefighters to increase use of 911 and ingestion of aspirin for symptoms of acute myocardial infarction (AMI) among seniors in King County, Washington. Firefighters visited 24,582 seniors in King County, Washington and delivered a Heart Attack Survival Kit. Another 24,191 senior households served as the control group. Outcomes of the program were measured by tracking 911 calls as well as survey data. This study reports on the results of the telephone survey with a random sample of seniors (N = 323) to assess their knowledge of and intentions to act during a heart emergency. Results of a logistic regression analysis showed that being female, being younger, and remembering the kit was significantly related to intentions to act appropriately to AMI symptoms. The results are discussed in terms of public education around AMI.

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Section: Seeking Prompt Medical Care For Symptoms Of Amimentioning

confidence: 96%

Evaluation of a Public Education Program Delivered by Firefighters on Early Recognition of a Heart Attack

Meischke

Diehr

Rowe³

et al. 2004

Eval Health Prof

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“…[25][26][27][28][29] In the randomized Rapid Early Action for Coronary Treatment (REACT) Trial, Luepker et al 28 found that a community intervention to increase patient recognition of and action on MI symptoms increased EMS use by 20% but did not significantly shorten the delay from symptom onset to hospital arrival. Conversely, Blohm et al 25 observed a reduction in presentation delay of Ϸ40 minutes that was associated with public media campaigns. However, this reduction in presentation delay was without any increase in EMS use rates.…”

Section: Need For Targeted Community Educationmentioning

confidence: 99%

“…25 Mission: Lifeline identifies patient education and awareness as a critical and challenging area to address. In this regard, efforts not only have been directed toward patient and bystander recognition of ischemic symptoms but also have emphasized both the urgency and benefit of EMS activation.…”

Section: Need For Targeted Community Educationmentioning

confidence: 99%

Use of Emergency Medical Service Transport Among Patients With ST-Segment–Elevation Myocardial Infarction

et al. 2011

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Background-Activation of emergency medical services (EMS) is critical for the early triage and treatment of patients experiencing ST-segment-elevation myocardial infarction, yet data regarding EMS use and its association with subsequent clinical care are limited. Methods and Results-We performed an observational analysis of 37 634 ST-segment-elevation myocardial infarction patients treated at 372 US hospitals participating in the National Cardiovascular Data Registry Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With the Guidelines between January 2007 and September 2009, and examined independent patient factors associated with EMS transportation versus patient self-transportation. We found that EMS transport was used in only 60% of ST-segment-elevation myocardial infarction patients. Older patients, those living farther from the hospital, and those with hemodynamic compromise were more likely to use EMS transport. In contrast, race, income, and education level did not appear to be associated with the mode of transport.

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“…[7][8][9][10][11][12][13][14][15][16][17] One of these also examined one to one education. 17 Two were RCTs, 16 17 one was a controlled trial, 15 and eight were before and after studies.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of interventions to reduce delay in patients with suspected heart attack

Kainth

Hewitt²,

Sowden³

et al. 2004

Emergency Medicine Journal

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Objectives: To evaluate the effectiveness of interventions aiming to reduce time from onset of signs and symptoms of an acute myocardial infarction (AMI) to seeking medical help/arrival at hospital. Methods: A systematic review was conducted. Fifteen electronic databases, the internet, and bibliographies of included studies were searched, and experts in the field of cardiac care were contacted. Randomised controlled trials (RCTs), controlled trials, and before and after studies conducted in any setting that assessed an intervention aimed at reducing time from onset of signs and symptoms of an AMI to seeking medical help and/or arrival in hospital were eligible for inclusion. Results: Eleven media/public education intervention studies met the inclusion criteria. Five (one controlled and four before and after studies) reported the intervention to have a statistically positive effect on delay time and six (two RCTs and four before and after studies) reported no statistically significant effect. Three (one RCT and two before and after studies) of five studies evaluating the effect of the intervention on emergency department visits reported an increase in this outcome as a result of the intervention, and both studies (one RCT and one before and after study) examining calls made to emergency switchboards reported an increase in this outcome after the intervention. Conclusions: There was little evidence that media/public education interventions reduced delay. There is some evidence that they may result in an increase in emergency switchboard calls and emergency department visits. Despite substantial expenditure of time and effort, methodological deficiencies of the studies mean that it is not possible to make definitive recommendations.

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A media campaign aiming at reducing delay times and increasing the use of ambulance in AMI

Cited by 43 publications

References 8 publications

Evaluation of a Public Education Program Delivered by Firefighters on Early Recognition of a Heart Attack

Evaluation of a Public Education Program Delivered by Firefighters on Early Recognition of a Heart Attack

Use of Emergency Medical Service Transport Among Patients With ST-Segment–Elevation Myocardial Infarction

Systematic review of interventions to reduce delay in patients with suspected heart attack

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