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Prehospital care
The optimum reperfusion pathway for ST elevation acute myocardial infarction: development of a decision framework
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  • Published on: 29 April 2016
    Faculty Position Statement

    Dear Editors,

    Dr Kendall's excellent review of the 'optimum reperfusion pathway' ends with a footnote stating that: "This paper represents the position of the Faculty of Pre-Hospital Care of the Royal College of Surgeons of Edinburgh"(1).

    Whilst I support pre-hospital thrombolysis and on-scene decision making by pre-hospital personnel, there are a number of important but unresolved practical issues wh...

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    Conflict of Interest:
    None declared.
  • Published on: 29 April 2016
    There are other clinicians involved in expediting reperfusion
    • Tom Quinn, Professor of Cardiac Nursing/Consultant Cardiac Nurse

    Dear Editor,

    I very much enjoyed reading this review of the changing nature of reperfusion in acute ST elevation MI. I was slightly dissapointed however at the statement in the conclusion:

    'The ideal scenario for any individual patient would be to have robust access to each therapeutic option, so that the clinician (whether a paramedic, emergency physician or cardiologist) could decide which would be most benefici...

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    Conflict of Interest:
    None declared.
  • Published on: 29 April 2016
    Re: There are other clinicians involved in expediting reperfusion

    Dear Editor,

    Professor Quinn makes a very good point and the absence of nurses from the list of "decison-making clinicians" in my paper is an oversight for which I apologise. Nurses have been instrumental over the last decade, along with doctors and paramedics, in developing strategy and implementing change in the management of patients with ST-elevation acute mycocardial infarction.

    Conflict of Interest:
    None declared.