Treatment of AMI
| | | |
What is the overall risk of death in untreated AMI? | 32 | 42 | 26 |
How many lives are saved giving aspirin in AMI? | 25 | 3 | 72 |
How many lives are saved if thrombolysis is given | | | |
in the first 1 hour? | 28 | 49 | 23 |
between 4–12 hours? | 34 | 42 | 24 |
Risks of prehospital thrombolysis
| | | |
Extra deaths are directly related to thrombolysis | 29 | 71 | 0 |
Extra strokes are directly related to thrombolysis | 42 | 34 | 24 |
Extra major bleeds (ex CVA) are directly related to thrombolysis | 9 | 91 | 0 |
What is the future role of paramedics in managing patients with suspected AMI?
| (%) | | |
Autonomous diagnosis & paramedic administration of PHT | 42 | | |
Telemedicine link to hospital—advice to administer PHT | 46 | | |
Transport to hospital with no PHT | 12 | | |
Where should training for thrombolysis take place?
| (%) | | |
Hospital | 79 | | |
Prehospital | 2 | | |
Training school | 19 | | |
Do you:
| Yes (%) | No (%) | |
Believe PHT will have any significant saving in pain to needle time? | 66 | 34 | |
Believe PHT is safe for use by paramedics? | 64 | 36 | |
Think you will see enough patients with AMI to feel confident to give PHT? | 71 | 29 | |
Feel this skill should attract a pay increase? | 95 | 5 | |
Think training should be recognised by a National CPD Certificate? | 96 | 4 | |
| Agree/strongly agree (%) | Neutral (%) | Disagree/strongly disagree (%) |
I think paramedics are capable of performing PHT | 83 | 11 | 6 |
I would feel confident to record a 12 lead ECG in the prehospital setting | 89 | 7 | 4 |
I would feel confident in my interpretation of a 12 lead ECG | 83 | 6 | 11 |
On average how frequently do you see patients with suspected cardiac chest pain?
| (%) | | |
Fewer than 1 per shift | 36 | | |
1 per shift | 32 | | |
2 per shift | 23 | | |
3 per shift | 7 | | |
More than 3 per shift | 2 | | |
How often do you think you would need to give thrombolysis in order to retain skills?
| (%) | | |
1 per shift | 3 | | |
1 per week | 19 | | |
1 per month | 63 | | |
1 per year | 13 | | |
Less than once per year | 2 | | |