Abstract:Background: Recent ACC/AHA STEMI guidelines state “STEMI patients presenting to a hospital with PCI capability should be treated with primary PCI within 90 minutes of first medical contact.” To address this Houston Northwest Medical Center developed a STEMI protocol in 2006 with Cypress Creek EMS, its primary paramedic service, initially to decrease hospital door-to-intervention (DTI) times. System evaluation post implementation indicated that EMS arrival-to-intervention (ETI) times better reflect overall comb… Show more
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