Abstract
During a 6-week period, 248 patients presenting with chest pain presumed to be cardiac in origin, were recruited in a time and motion study in the Accident and Emergency Department of the Leicester Royal Infirmary. The study considered the ambulance-response and transfer times from the scene to the hospital, as well as the duration of the patients stay in the Department. While Ambulance Time from the scene of the incident to the hospital averaged 28 min, the time spent in the Accident and Emergency Department prior to admission averaged 76.5 min. This study was conducted in the light of growing concern expressed at the delay in administering thrombolytic agents to those patients with acute myocardial infarction (AMI). The authors propose possible ways of reducing such delays.
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- Armstrong A., Duncan B., Oliver M. F., Julian D. G., Donald K. W., Fulton M., Lutz W., Morrison S. L. Natural history of acute coronary heart attacks. A community study. Br Heart J. 1972 Jan;34(1):67–80. doi: 10.1136/hrt.34.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Emerson P. A., Russell N. J., Wyatt J., Crichton N., Pantin C. F., Morgan A. D., Fleming P. R. An audit of doctor's management of patients with chest pain in the accident and emergency department. Q J Med. 1989 Mar;70(263):213–220. [PubMed] [Google Scholar]
- Richards T. Seconds may count. Br Med J (Clin Res Ed) 1987 Jul 18;295(6591):198–199. doi: 10.1136/bmj.295.6591.198. [DOI] [PMC free article] [PubMed] [Google Scholar]