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The prehospital electrocardiogram.

R J Patel1, G M Vilke, T C Chan

  • 1The University of California San Diego School of Medicine, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92103-8676, USA.

The Journal of Emergency Medicine
|June 12, 2001
PubMed
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The prehospital 12-lead electrocardiogram (EKG) offers benefits for acute myocardial infarction patients, including faster treatment. However, challenges in real-time interpretation and cost-effectiveness need addressing for wider adoption.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Prehospital Care

Background:

  • The 12-lead electrocardiogram (EKG) is underutilized in prehospital settings despite European use.
  • Prehospital EKGs are associated with improved outcomes for acute myocardial infarction (AMI).

Purpose of the Study:

  • To review the role and impact of prehospital 12-lead EKGs in managing acute coronary syndromes (ACS).

Main Methods:

  • Review of existing literature and clinical data on prehospital EKG use.
  • Analysis of reported benefits and challenges associated with field EKGs.

Main Results:

  • Prehospital EKGs can reduce door-to-needle time and accelerate reperfusion therapy.
  • Field EKGs facilitate prehospital fibrinolysis and improve patient management.

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  • Concerns exist regarding real-time interpretation, triage, and potential delays.

    • Conclusions:

    • Prehospital 12-lead EKGs show promise for improving AMI care but require further evaluation for universal implementation.
    • Addressing challenges in interpretation and cost-benefit analysis is crucial for expanding prehospital EKG use.