CPMI-1122 - Metric 37 | First Medical Contact - Device Time-1122 - Metric 37

1122 - Metric 37 | First Medical Contact - Device Time

Video Transcription

Video Summary

In this video, the case scenario involves a 74-year-old male who experienced severe chest pain and shortness of breath after eating lunch. EMS arrived at the patient's side at 2 p.m. and transported him to the closest facility less than five minutes away. An ECG performed at 2.02 p.m. was negative for STEMI, but EMS alerted the facility. The patient arrived at the ED at 2.05 p.m., and the ED physician reviewed the EMS ECG and requested it to be repeated at 2.07 p.m. The on-call cardiologist was alerted at 2.08 p.m., and a code heart was activated at 2.09 p.m. The patient was transferred to the cardiac cath lab, where the occluded artery was identified and the first balloon inflation was performed at 2.59 p.m. The patient is included in metric 37, first medical contact to device time, and the first medical contact to device time in this scenario is 52 minutes. The video also provides the rationale and algorithm for calculating this metric and highlights a new column added to the Chest Pain MI Registry for better understanding. No credits are mentioned in the video.

Keywords

chest pain

shortness of breath

STEMI

ECG

EMS