Prehospital ECG and STEMI Activation: A Good Idea?

It is well known that primary percutaneous coronary intervention (PPCI) is the gold standard in STEMI treatment and that decreased door-to-balloon time has better patient outcomes. Guidelines recommend that the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon time) should be 90 minutes or less.

ALiEM Sim Case Series: Mass Casualty Building Bombing

Case Writer: Nikita Joshi, MD

Keywords: Mass casualty incident, building bombing, disaster, triage, ethics

Educational Objectives

Medical

Develop system of triage to optimize patient outcomes in prehospital disaster setting
Effectively utilize color coded tagging method to assist in categorizing patients
Develop treatment plans to address immediate emergency conditions per ATLS protocols

Communication

Maintain team and personnel safety precautions
Regularly provide updates to incident command center

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