Читать книгу Emergency Medical Services - Группа авторов - Страница 240

Many 9‐1‐1 prearrival instructions already direct callers to take aspirin if they have chest pain. Allowing BLS clinicians to administer aspirin, if not contraindicated and if permitted by EMS laws and regulations, seems the next logical step. One reason stated for the lack of aspirin administration to eligible ACS patients is the inability of BLS clinicians to administer it based on local protocols or regulations [72].

BLS clinicians can be taught to acquire and transmit 12‐lead ECGs. This approach may be particularly beneficial in rural areas, with scant ALS coverage and long transport times to definitive care. Using the 12‐lead ECG to triage STEMI patients to air transport from the scene may lead to improved cardiac care in rural areas and more efficient use of available resources [73].