Table 5

Review of paramedic decision for patients where discrepancy exists

Contraindications present to prehospital thrombolysis (as judged by paramedics)ECG criteria for prehospital thrombolysis present (as judged by expert panel)ECG criteria correctly identified by paramedicCorrect paramedic decision for prehospital thrombolysis
Breathing influenced painNoYesYes
Systolic BP >160 mm Hg
No ST elevation
Continuous symptoms started >6 h agoNoYesYes
No ST elevation
Possibility of streptokinase previously given
Systolic BP >160 mm HgNoYesYes
No ST elevation
QRS complex wider than 0.14 seconds
Systolic BP >160 mm HgYesYesYes
Suspicion of peptic ulcer
Systolic BP >160 mm HgYesYesYes
Systolic BP >160 mm HgYesYesYes
Pulse <50 bpmYesYesYes
Continuous symptoms started >6 h agoYesNoYes
No ST elevation
QRS complex wider than 0.14 seconds