Patients with cardiac arrest should be taken to a PCI center, even if a non-PCI hospital is closer
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Emergency medical technicians should transport patients with out-of-hospital cardiac arrest (OHCA) who are successfully revived in the field to a medical center that performs percutaneous coronary intervention (PCI), even if it means bypassing a closer non-PCI facility.
Why this matters
Studies comparing OHCA outcomes based on transport distance have been done largely in urban areas with shorter transport times.
1507 patients with OHCA and prehospital return of spontaneous circulation.
873 patients bypassed closer non-PCI center en route to a PCI center (median transport time: 14 min).
Of the 634 patients taken to nearest hospital, 76.6% were taken to PCI center (median transport time: 8.5 min) and 148 to a non-PCI center (median transport time: 11 min).