Lee (2009) suggested that physicians should initiate the catheterization laboratory without necessary consulting the cardiologists.
In some cases, some patients that have been referred for PPCI do not get optimum percutaneous reperfusion and at the right time with an experienced group (Tubaro et al., 2011). PCI aims to open the artery as soon as possible after its blockade, preferably within 90minutes (Cardiosmart.org, 2014). The recommended time for the treatment of patients with PCI capability is a maximum of 90 minutes. For those without PCI capability, they should receive medical attention in the first 30minutes of arrival at a hospital. The treatment is basically fibrinolytic therapy.
Paramedic bypass of the protocols of emergency care reduced the number of minutes of the door to balloon time. From the study, there was an improvement of over 28 % percent. Before the initiation of paramedic by pass protocol, the average time needed was about 107 minutes. These saw an improvement of about thirty-seven minutes with an average time coming down to 70 percent. However, the study recommends for further studies to determine the outcome of those patients who were taken care of by these paramedics (Cheskeset al, 2011).
In the observation by Pitta et al (2010), it was noted that most of the time lost is on the acquisition of an electrocardiogram and most of the patients never had an electrocardiogram conducted on them because of the delays. Hence, from the case study, the authors emphasize on the need to have a Pre-hospital electro cardiogram to conduct to aid in reducing the door to balloon time.
In the study conducted by Wilson et al, (2010) to assess the impact of interdepartmental collaboration on door to balloon time reduction, the authors observes that there is a great improvement on time reduction with emergency department physician activation of cardiac catheterization laboratory followed with instantaneous transfer in ...
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