Door to Electrocardiography (ECG) and Needle Times in Patients with Myocardial Infarction
Journal Title: Archives of Academic Emergency Medicine - Year 2014, Vol 2, Issue 4
Abstract
Acute myocardial infarction is one of the most prevalent causes of hospitalization in emergency department. In United States 650,000 patients annually suffer from acute myocardial infarction and in Iran ischemic heart diseases are considered as the second cause of mortality in popu-lation of 15-49 years (1). Taking thrombolytic drugs leads to 40-50% decrease in mortality rate of such pa-tients. Based on the current standards, less than 10 and 30 minutes are estimated for appropriate door to electrocar-diography (ECG) and door to needle times, respectively (2). In a study performed on 100 patients referred to the emergency department of Nemazi Hospital, Shiraz, Iran, through March 2013 to April 2014, the mean time from the chest pain starting to emergency ward admission was estimated more than 90 minutes.
Quebec Decision Rule in Determining the Need for Radiography in Reduction of Shoulder Dislocation; a Diagnostic Accuracy Study
Introduction: The Quebec Decision Rule (QDR) has been developed for deciding on the necessity of radiography for patients with shoulder dislocation. This study aimed to investigate the diagnostic value of QDR in this reg...
Association of Lymphopenia with Short Term Outcomes of Sepsis Patients; a Brief Report
Introduction: Studies have claimed that low lymphocyte count is independently correlated with 28-day survival of sepsis patients. Therefore, this study aimed to evaluate the value of lymphopenia in predicting the short-t...
Oral Piracetam vs Betahistine in Outpatient Management of Peripheral Vertigo; a Randomized Clinical Trial
Introduction: Although vertigo is a common complaint in patients presenting to the emergency department (ED), its ideal treatment is still under debate. This study was conducted to compare oral betahistine and oral pirac...
Specialist Physicians’ Attitude towards Emergency Medicine; a Semi-Structured Qualitative Study
Introduction: The present study is a survey to assess the pros and cons of emergency medicine (EM) from the viewpoint of the scholars from other medicine disciplines to improve the efficiency of EM in the healthcare syst...
Independent Predictive Factors of Hospitalization in a North-West Burn Center of Iran; an Epidemiologic Study
Introduction: A high-grade burn is one of the most devastating injuries with several medical, social, economic, and psychological effects. These injuries are the most common cause of accidental deaths after traffic injur...