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Paramedic heart scores in the prediction of Mace and AMI. The ambulance cardiac chest pain evaluation in Scotland (ACCESS) study

Cooper, Jamie
Ferguson, James
Donaldson, Lorna A.
Black, Kim
Davidson, Elaine
Horrill, Judith L.
Livock, Kate J.
Lee, Kuan Ken
Anand, Atul
Mills, Nicholas L.
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Abstract
Cardiac sounding chest pain represents about 5% of all Emergency Department (ED) attendances in the United Kingdom (UK), often via 999 ambulance. Much work has focused on the rapid distinction of the 1 in 5 patients without ST elevation on ECG, who are suffering from a non ST elevation myocardial infarction (NSTEMI). Pre-hospital translation of such work may allow improved access to specialist treatment for patients with NSTEMI and also identify a low risk population suitable for management without immediate ambulance transfer to hospital. https://emj.bmj.com/content/36/12/778 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/emermed-2019-RCEM.13
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