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Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Evolving AMI care, 2010.

Jeremy Brywczynski¹, Jared McKinney, Corey M Slovis

¹Vanderbilt University, USA.

JEMS : a Journal of Emergency Medical Services

|February 20, 2010

Summary

This summary is machine-generated.

Minimizing emergency medical services (EMS) on-scene and transport times is crucial for ST-elevation myocardial infarction (STEMI) patients. A collaborative approach between EMS and hospitals improves door-to-balloon (D2B) times, preserving heart muscle.

Related Experiment Videos

Last Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

Cardiology
Emergency Medicine
Pre-hospital Care

Background:

Acute coronary syndromes (ACS), particularly ST-elevation myocardial infarction (STEMI), require rapid intervention.
The principle of "time is muscle" emphasizes the critical nature of reducing delays in STEMI treatment.
Existing hospital door-to-balloon (D2B) times must be complemented by optimized EMS on-scene and transport durations.

Purpose of the Study:

To highlight the evolving landscape of STEMI care.
To underscore the importance of minimizing EMS on-scene and transport times for STEMI patients.
To advocate for a collaborative approach between EMS and hospitals to improve STEMI outcomes.

Main Methods:

Review of current practices and research in STEMI management.
Emphasis on the integration of EMS and hospital protocols.
Discussion of team-based activation strategies for percutaneous coronary intervention (PCI).

Main Results:

Minimizing EMS on-scene and transport times is essential, even with acceptable hospital D2B times.
Optimizing EMS to EKG (E2B) times, aiming for under 90 minutes, is a key goal.
A collaborative team approach involving paramedics and ED physicians enhances STEMI recognition and reduces false PCI activations.

Conclusions:

Continuous evolution in ACS and STEMI care necessitates ongoing adaptation of EMS protocols.
EMS personnel must prepare for increased transports of patients receiving lytic therapy.
Optimized EMS-to-hospital workflows are critical for improving outcomes in STEMI patients.