+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Treatment of acute myocardial infarction in Scottish emergency departments: survey of current practice

, : Treatment of acute myocardial infarction in Scottish emergency departments: survey of current practice. European Journal of Emergency Medicine 13(1): 43-45

Thrombolysis was rarely given in emergency departments in Scotland when last studied in 1996. This study aimed to review the current practice of Scottish emergency departments with respect to thrombolysis for acute myocardial infarction. Postal questionnaires were sent to all emergency departments in Scotland staffed by at least one consultant in emergency medicine, assessing the processes used for thrombolysis of acute myocardial infarction in the emergency department. A reminder letter was sent to non-responders after 1 month. All results were anonymized. The response rate was 77% (23 questionnaires from 30 hospitals). Twenty (87%) emergency departments performed thrombolysis according to protocol. In 13 emergency departments, thrombolysis was initiated by the emergency department staff, in six by on-call physicians and one emergency department had nurse-led thrombolysis. Twelve emergency departments occasionally received patients who had been given prehospital thrombolysis. Six hospitals had on-site primary angioplasty but only two hospitals had a 24-h service. Thirteen respondents thought the emergency department was the most appropriate place for thrombolysis, four felt that prehospital thrombolysis was best and one thought that coronary care was optimal. Four respondents felt that prehospital or the emergency department were the best options. Most emergency departments in Scotland are now administering thrombolysis for patients with acute myocardial infarction. Thrombolysis, delivered either in the prehospital arena or in the emergency department, is likely to be the primary option for patients with acute myocardial infarction in Scotland in the foreseeable future.


PMID: 16374250

Other references

Shlyapnikov S.V.; Margulis G.U.; Glotov B.O.; Severin E.S., 1976: Tyrosine residues of histones kinetics of the nitration of f 1 and f 2a1 histones by tetra nitro methane. Molecular Biology (English Translation of Molekulyarnaya Biologiya (Moscow)) 10(3): 507-512

Shkeda A.M.; Shkeda R.V., 1982: Hydrochemical regimen of the canals of the turkmen ssr collector drainage systems ussr. On the basis of 5-yr observations for the hydrochemical regime of the canals of the Turkmen SSR collector-drainage systems, the majority of the salt collectors in the water and the O2 regime are conducive for the biological amelioration of Ctenoph...

Lozinskiĭ, V.S., 1977: Use of autogenic training for the self-regulation of cardiovascular activity and the prevention of neurocirculatory dystonia in student pilots. Kosmicheskaia Biologiia i Aviakosmicheskaia Meditsina 11(5): 88-90

Schatzmann, M., 1970: Experience with diamond-tipped extraction forceps. Die Quintessenz 21(8): 26-26

Yonezawa, M.; Nagao, M.; Abe, K.; Matsuo, Y.; Baba, S.; Kamitani, T.; Isoda, T.; Maruoka, Y.; Jinnouchi, M.; Yamasaki, Y.; Abe, K.; Higo, T.; Yoshiura, T.; Honda, H., 2014: Relationship between impaired cardiac sympathetic activity and spatial dyssynchrony in patients with non-ischemic heart failure: assessment by MIBG scintigraphy and tagged MRI. Impairment of cardiac sympathetic activity has various detrimental effects on cardiac function. The purpose was to investigate the relationship between left ventricular (LV) dyssynchrony and cardiac sympathetic activity in non-ischemic heart failu...

Foong, K.W., 2000: The Gold Medal Prize in the Conjoint M.Orth. exam of the Royal College of Surgeons of Edinburgh held in Hong Kong, 1996. Journal of Orthodontics 27(1): 1-10

Runquist, L.; Hendrix, G., 2001: Survival and prognosis following sudden cardiac death. Journal of the South Carolina Medical Association 97(10): 439-441

Chen, R.O.; Altman, R.B., 1999: Automated diagnosis of data-model conflicts using metadata. The authors describe a methodology for helping computational biologists diagnose discrepancies they encounter between experimental data and the predictions of scientific models. The authors call these discrepancies data-model conflicts. They have...

Kuznetsov, NN., 1987: Taxonomic structure and phylogeny of predatory mites group of the cohort Prostigmata (Acariformes). Byulleten' Gosudarstvennogo Nikitskogo Botanicheskogo Sada, 73-80 No. 62

Hartley, M.P.; Sanderson, S., 2003: Use of antibiotic impregnated polymethylmethacrylate beads for the treatment of chronic mandibular osteomyelitis in a Bennett's wallaby (Macropus rufogriseus rufogriseus). Antibiotic impregnated polymethylmethacrylate beads were surgically implanted into the mandible of an adult Bennett's wallaby (Macropus rufogriseus rufogriseus) suffering from chronic mandibular osteomyelitis that had proven refractory to sys...