Prehospital Management of Acute STEMI - Escobar, Barbagelata 9781935395669

Prehospital Management of Acute Stemi
Prehospital Management of Acute Stemi

Prehospital Management of Acute STEMI - Escobar, Barbagelata 9781935395669

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Prehospital Management of Acute STEMI: Practical Approaches and International Strategies for Early Intervention

Cardiovascular Team Approach Series, Volume 2

Volume Editors: Edgardo Escobar; Alejandro Barbagelata

Product Details:
Published March 2015
ISBN: 9781935395669
Trim Size: 5 x 8 inches
258 pages
Format: Paperback; eBook


Prehospital Management of Acute STEMI: Practical Approaches and International Strategies for Early Intervention, the second volume in the Cardiovascular Team Approach Series, discusses the importance of coordinated prehospital care of STEMI with a practical focus on early detection and early intervention. Topics include:

  • ECG acquisition and STEMI specific interpretation

  • Telemedicine and regional triage centers

  • The increasingly important role of nurses and paramedic personnel

Additionally, gain an international perspective as authors from multiple countries discuss their experiences with diverse systems that manage prehospital STEMI recognition and care.

Cardiovascular Team Approach Series

Cardiovascular Team Approach Series focuses on the interprofessional team approach for the management and prevention of cardiovascular disease.

  • Highlights the complementary roles of the physician/nurse team as well as the contributions of other disciplines.

  • Provides an international and global perspective on the management of cardiovascular disorders

Volume Editors:

Edgardo Escobar, MD, FACC, FAHA
Professor of Medicine, University of Chile
Medical Director, ITMS Telemedicine of Chile
Santiago, Chile

Alejandro Barbagelata, MD, FAHA, FSCAI
Associate Professor of Medicine, Division of Cardiology
University of Texas Medical Branch, Galveston Texas

Series Editors-in-chief:

Joseph S. Alpert, MD, FAHA, FACC, MACP, FESC
Professor of Medicine, University of Arizona Health Science Network, Tucson, Arizona
Editor in Chief, The American Journal of Medicine

Lynne T. Braun, PhD, CNP, FAHA, FAAN
Professor, Department of Adult Health and Gerontological Nursing, Rush University College of Nursing
Nurse Practitioner, Section of Cardiology, Rush University Medical Center, Chicago, Illinois USA

Barbara J. Fletcher, RN, MN, FAHA, FAAN
Clinical Associate Professor, Brooks College of Health, School of Nursing, University of North Florida, Jacksonville, Florida

Gerald Fletcher, MD, FAHA
Professor in Medicine (Cardiovascular Diseases), Mayo Clinic College of Medicine, Mayo Clinic Florida, Jacksonville, Florida

Table of Contents:

Introduction: Increasing Importance of Prehospital Care of ST-Segment Elevation Myocardial Infarction
Edgardo Escobar, Alejandro Barbagelata

Part 1: Program Development for Prehospital STEMI Care Systems: Focus on the United States Experience

Chapter 1: Delays and Decision Points in Prehospital STEMI Management Systems: A Framework for Reducing the Gap Between the Scientific Guidelines and the Real-World Experience
Quiangjun Cai and Alejandro Barbagelata

Chapter 2: The Time Dilemma and Decision-Making for Prehospital Fibrinolysis, Hospital Fibrinolysis, and/or Transfer to a Primary PCI Center
Freij Gobal, Abdul Hakeem, Zubair Ahmed, and Barry F. Uretsky

Chapter 3: Prehospital ECG Acquisition/Interpretation: Emerging Technology Applied to STEMI Care
Michael J. Pompliano and George L. Adams

Chapter 4: ECG Pitfalls in Early Recognition of STEMI: Ischemic Versus Nonischemic ST Elevation
Henry D. Huang, Waleed Kayani, Salman Bandeali, and Yochai Birnbaum

Chapter 5: Triage Models for ST-Elevation Myocardial Infarction Systems of Prehospital Care and the Challenge of Inappropriate Cardiac Catheterization Laboratory Activation
David A. Hildebrandt, David M. Larson, and Timothy D. Henry

Chapter 6: Prehospital STEMI Management in the Setting of Out-of-Hospital Cardiac Arrest
Eric Wiel and Patrick Goldstein

Chapter 7: Role of Nurses and Paramedics in the Prehospital Care of Acute Myocardial Infarction
Denise Greci Robinson

Part 2: Systems of Prehospital STEMI Care from Around the World

Chapter 8: Canada: Integrated Systems of Prehospital STEMI Care
Darren Knapp and Robert C. Welsh

Chapter 9: Denmark: Prehospital STEMI Management Systems
Maria Sejersten and Peter Clemmensen

Chapter 10: Argentina: Prehospital STEMI Management
Liliana Grinfeld and Florencia Rolandi

Chapter 11: Brazil: Prehospital Management of STEMI
Roberto Vieira Botelho and Thais Waisman

Chapter 12: Chile: Prehospital Management of STEMI
Edgardo Escobar

Chapter 13: France: Prehospital STEMI Management
Nicolas Danchin, Etienne Puymirat, Eric Durand, and Patrick Goldstein


Doody's Review Service:

Reviewer: Arnold Hite, MD, MS (Ochsner Clinic Foundation)

This book examines various systems and policies for STEMI
(ST-elevation myocardial infarction) care and triage prior to arrival at
the catheterization laboratory.

The purpose is to analyze the various strategies for prehospital
STEMI management and weigh their pros and cons. With high
variability in STEMI response systems in place across multiple
countries, there is a need to determine which strategies are most
effective. The book accomplishes this task with a systematic
comparison approach to existing early STEMI protocols.

It is intended for those interested in healthcare systems, but would
be most useful for administrators of emergency care and EMS care.
The editors and authors are noted authorities on the topic.

This book provides details of the systems currently in place in STEMI
care from the field to the emergency department, including
emerging technologies and potential pitfalls. The first part of the
book focuses on U.S. healthcare, while the second part discusses
STEMI care around the world in a comparative fashion.

This will be a valuable resource to administrators of emergency care.
Given its objective comparison of multiple systems and their
interaction with laws and government standards, the book would be
particularly useful for those in healthcare policy.