STEMI Bypass in the Middle East

Disclosures

Faculty, Fanshawe College, ON, Canada

Research Paramedic, National Ambulance, UAE

Paramedic Educator, CPER, ON, Canada

Faculty, Portland Community College, OR, USA

Editor, Irish Journal of Paramedicine

Vice-President, Irish College of Paramedics

Access

Logistics

Logistics

Personnel

Scope of practice

Service delivery

Al Raha apartments, behind RAK bank building, in Khuzan area, off Sheikh Khalifa Street…

Service delivery

Service delivery

MaleFemale

Almost 50% of population

Almost 40% of Emiratis are obese

39%

16%

16%

21%

Literature Review

Prehospital ECG reduces mortality

Reduces reperfusion times

Accurate regardless of provider

PCI activation accurate

~15-25%

GulfRACE 1,2,3Abu Dhabi STEMI Network

Study design

\Service delivery

Personnel

Logistics

Logistics

Data collection

Communication

Sheikh Khalifa Specialty Hospital

74% (n=87)

26%(n=31)

0

20

40

60

80

100

Male Female

Total

24

5

0

5

10

15

20

25

30

Male Female

STEMI

6

15

3

5

0

2

4

6

8

10

12

14

16

Emirati Indian Asian Other

Nationality

Past Medical History

STEMI

PMHx (any)

Classic associated symptoms

STEMI

Symptoms

Pain

STEMI

Pain

Mortality

Major adverse cardiac event

Symptom onset to call

Symptom onset to ECG

EMS arrival to ECG

EMS Dispatch to door

Door to balloon

So what?

@alan_batt

[email protected]