Patients with cardiac arrest should be taken to a PCI center, even if a non-PCI hospital is closer

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Takeaway

  • 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.

Study design

  • 1507 patients with OHCA and prehospital return of spontaneous circulation.

Key results

  • 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).
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