International Paramedic Practice
MRHRC, USM, STEMI, regionalized systems, AMI
The purpose of this study is to evaluate why current treatment goals for patients with Acute Myocardial Infarction (AMI) are not being achieved despite a large body of evidence supporting regionalized ST Elevation Myocardial Infarction (STEMI) systems. An online survey tool,developed by the research project team, was used to poll the Critical Access Hospitals in Nebraska in order to understand delay factors and other barriers to executing a STEMI system in a rural area. The authors found that the rural STEMI care system lacks a coordinated systems considered to be essential for urban areas. Several areas of potential failure in the system were identified.
Nudell, N., Bouthillet, T., Wingrove, G., Rice, D., & Gale, J. A. (2013). Rural acute myocardial infarction survey (ramis). International Paramedic Practice, 2(1), 169-175.