The Use of Video-Telemedicine (VTM) to Establishing Point of Care for Positive Code ST-Elevated Myocardial Infarction (STEMI) Patients in the Pre-hospital Setting

Martina Abuphilipous, Mary Boyes, Honors College, Virginia Commonwealth University, 907 Floyd Ave, Richmond, VA 23284

Cardiovascular diseases are considered one of the top five leading causes of death with myocardial infarction (MI) affecting more than seven million people every year worldwide. There is a need for further investigation on early treatment with emergency medical services (EMS) in the pre-hospital setting for patients presenting with MIs. ST-segment elevation myocardial infarction (STEMI) is defined as myocyte necrosis with electrocardiogram (EKG) changes and alteration in troponin levels. After reviewing literature published by experts in the field of cardiology, emergency medicine, and telemedicine, this paper proposes a novel approach to treating patients with STEMI in the pre-hospital setting. Code STEMI is activated by EMS crews after evidence of ST-segment elevation is noted on an EKG. Code STEMI would enhance the quality of care provided to the patients en route to the hospital with accurate diagnosis and efficient assessment by using video-telemedicine (VTM) with a physician, obtaining a blood sample for troponin level testing, and establishing serial EKGs. The activation of code STEMI allows for pre-hospital triage and an opportunity for the receiving interventional cardiologist to assess the patient followed by catheterization lab preparations which permit the patient to bypass the ED to the Percutaneous Coronary Intervention (PCI) floor. To evaluate the functionality of code STEMI, further studies need to be designed to achieve field results and to assess the potential problems that may arise with the usage of video-telemedicine. 

Additional Abstract Information

Presenter: Martina Abuphilipous

Institution: Virginia Commonwealth University

Type: Poster

Subject: Nursing & Public Health

Status: Approved

Time and Location

Session: Poster 9
Date/Time: Wed 12:00pm-1:00pm
Session Number: 6083