title: Helicopter scene response for a STEMI patient transported directly to the cardiac catheterization laboratory.
abstract: At 2:10 pm, a 40-year-old Caucasian woman with no known medical history called 911 complaining of substernal, crushing chest pain that had started 2 to 3 hours before she called emergency medical services (EMS). EMS arrived at 2:24 pm and obtained a 12-lead electrocardiogram (ECG) diagnostic of ST-segment elevation myocardial infarction (STEMI) at 2:36 pm. University Air Care was requested by local EMS at 2:42 pm to respond directly to the cardiac scene in rural Ohio for rapid transport to a facility capable of performing percutaneous coronary intervention (PCI). The closest PCI-capable facility was approximately 35 minutes away by ground or 13 minutes by air. The closest non-PCI hospital was approximately 20 minutes away by ground (Fig. 1).
authors: University of Cincinnati, USA.
authors: Christopher
authors: C
authors: Palmer
authors: Jason
authors: J
authors: McMullan
authors: William
authors: W
authors: Knight
authors: Matt
authors: M
authors: Gunderman
authors: William
authors: W
authors: Hinckley
mesh_terms: D000328:Adult; D017732:Air Ambulances; D000701:Analgesics, Opioid / Q000627:therapeutic use; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D006328:Cardiac Catheterization; D002637:Chest Pain / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy; D003331:Coronary Vessels / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009020:Morphine / Q000627:therapeutic use; D009203:Myocardial Infarction / Q000175:diagnosis*; D005996:Nitroglycerin / Q000627:therapeutic use; D009820:Ohio; D017294:Ondansetron / Q000627:therapeutic use; D010100:Oxygen / Q000627:therapeutic use; D015607:Stents; D013927:Thrombosis / Q000628:therapy; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D000701:Analgesics, Opioid; D014151:Anti-Anxiety Agents; D014665:Vasodilator Agents; D017294:Ondansetron; D009020:Morphine; D005996:Nitroglycerin; D001241:Aspirin; D010100:Oxygen