Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization.
PROBLEM ADDRESSED: First Nations* communities in the North have a high prevalence of coronary artery disease and type 2 diabetes and face an increasing incidence of myocardial infarction (MI). Many conditions delay timely administration of thrombolysis, including long times between when patients fir...
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ftpubmed:oai:pubmedcentral.nih.gov:2144947 2023-05-15T16:16:28+02:00 Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. Kapasi, H. Kelly, L. Morgan, J. 2000-06 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2144947 http://www.ncbi.nlm.nih.gov/pubmed/10907571 en eng College of Family Physicians of Canada http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2144947 http://www.ncbi.nlm.nih.gov/pubmed/10907571 Research Article Text 2000 ftpubmed 2013-09-01T10:33:04Z PROBLEM ADDRESSED: First Nations* communities in the North have a high prevalence of coronary artery disease and type 2 diabetes and face an increasing incidence of myocardial infarction (MI). Many conditions delay timely administration of thrombolysis, including long times between when patients first experience symptoms and when they present to community nursing stations, delays in air transfers to treating hospitals, uncertainty about when planes are available, and poor flying conditions. OBJECTIVE OF PROGRAM: To develop a program for administration of thrombolysis on the way to hospital by air ambulance paramedics flying to remote communities to provide more rapid thrombolytic therapy to northern patients experiencing acute MIs. COMPONENTS OF PROGRAM: Critical care flight paramedics fly to northern communities from Sioux Lookout, Ont; assess patients; communicate with base hospital physicians; review an exclusion criteria checklist; and administer thrombolytics according to the Sioux Lookout District Health Centre/Base Hospital Policy and Procedure Manual. Patients are then flown to hospitals in Sioux Lookout; Winnipeg, Man; or Thunder Bay, Ont. CONCLUSION: This thrombolysis program is being pilot tested, and further evaluation and development is anticipated. Text First Nations PubMed Central (PMC) Lookout ENVELOPE(77.955,77.955,-68.605,-68.605) Thunder Bay ENVELOPE(68.885,68.885,-49.325,-49.325) |
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Research Article Kapasi, H. Kelly, L. Morgan, J. Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
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Research Article |
description |
PROBLEM ADDRESSED: First Nations* communities in the North have a high prevalence of coronary artery disease and type 2 diabetes and face an increasing incidence of myocardial infarction (MI). Many conditions delay timely administration of thrombolysis, including long times between when patients first experience symptoms and when they present to community nursing stations, delays in air transfers to treating hospitals, uncertainty about when planes are available, and poor flying conditions. OBJECTIVE OF PROGRAM: To develop a program for administration of thrombolysis on the way to hospital by air ambulance paramedics flying to remote communities to provide more rapid thrombolytic therapy to northern patients experiencing acute MIs. COMPONENTS OF PROGRAM: Critical care flight paramedics fly to northern communities from Sioux Lookout, Ont; assess patients; communicate with base hospital physicians; review an exclusion criteria checklist; and administer thrombolytics according to the Sioux Lookout District Health Centre/Base Hospital Policy and Procedure Manual. Patients are then flown to hospitals in Sioux Lookout; Winnipeg, Man; or Thunder Bay, Ont. CONCLUSION: This thrombolysis program is being pilot tested, and further evaluation and development is anticipated. |
format |
Text |
author |
Kapasi, H. Kelly, L. Morgan, J. |
author_facet |
Kapasi, H. Kelly, L. Morgan, J. |
author_sort |
Kapasi, H. |
title |
Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
title_short |
Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
title_full |
Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
title_fullStr |
Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
title_full_unstemmed |
Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
title_sort |
thrombolysis in the air. air-ambulance paramedics flying to remote communities treat patients before hospitalization. |
publisher |
College of Family Physicians of Canada |
publishDate |
2000 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2144947 http://www.ncbi.nlm.nih.gov/pubmed/10907571 |
long_lat |
ENVELOPE(77.955,77.955,-68.605,-68.605) ENVELOPE(68.885,68.885,-49.325,-49.325) |
geographic |
Lookout Thunder Bay |
geographic_facet |
Lookout Thunder Bay |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2144947 http://www.ncbi.nlm.nih.gov/pubmed/10907571 |
_version_ |
1766002334350966784 |