REAL TIME PHYSICIAN OVERSIGHT OF PRE-HOSPITAL STEMI ACTIVATION ASSOCIATED WITH REDUCED RATE OF INAPPROPRIATE CATHETERIZATION LABORATORY ACTIVATION

“Physician-less” automated pre-hospital STEMI diagnosis and cardiac catheterization laboratory (CCL) activation has been shown to provide consistently short door-to-balloon (D2B) times and an acceptably low rate of inappropriate activations (IA). However, as human error accounts for up to 70% of IA with this system, real-time physician oversight might improve system performance further. Herein, we compare the performance of a “physician-less” pre-hospital CCL activation system in terms of the rates of IA and false positive (FP) activations to an otherwise identical system with real-time emergency physician oversight.