The role of telemedicine in prehospital emergency management of ST-elevation myocardial infarction

    Authors

    Keywords

    emergency medical services, myocardial infarction, prehospital care

    DOI

    https://doi.org/10.15836/ccar2026.54

    Full Text

    The use of telemedicine in prehospital care of STEMI patients in Brodsko-Posavska County enables timely recognition and activation of the intervention team in the percutaneous coronary intervention center, which directly contributes to a shorter time from first medical contact to reperfusion. The high rate of aspirin administration, timely venous access and 12-lead electrocardiogram within the recommended time frame indicate good adherence to clinical guidelines in the daily work of emergency medical teams. However, differences in the availability of teams with medical staff and logistical challenges in remote areas remain obstacles to achieving optimal time intervals. The integration of highly educated nurses and technicians with specialized competencies in emergency medicine represents a significant advance and offers the potential for further improvements in the quality of care, especially in teams without the constant presence of a physician. (1-3) Further research is needed to monitor treatment outcomes and assess the effectiveness of current protocols.

    Literature

    1. Mišković A, Glavić J, Omerbašić M, Bardak B. Spolne razlike u učestalosti i kliničkoj prezentaciji akutnog infarkta miokarda u izvanbolničkoj hitnoj medicinskoj službi. Acta Med Croatica. 2020;74(3):279–83. https://hrcak.srce.hr/245744
    2. Russo RG, Wikler D, Rahimi K, Danaei G. Self-Administration of Aspirin After Chest Pain for the Prevention of Premature Cardiovascular Mortality in the United States: A Population-Based Analysis. J Am Heart Assoc. 2024 June 4;13(11):e032778. https://doi.org/10.1161/JAHA.123.032778
    3. Ositech Communications Inc. Pre-hospital ECG Transmission. (October 18, 2025). https://ositech.com/applications/pre-hospital-ecg-transmission/
    Cardiologia Croatica
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    The role of telemedicine in prehospital emergency management of ST-elevation myocardial infarction

    Extended Abstract
    Issue1-2
    Published
    Pages54
    PDF via DOIhttps://doi.org/10.15836/ccar2026.54
    emergency medical services
    myocardial infarction
    prehospital care

    Authors

    Karlo Petošić*Health Centre Brod-Posavina County, Slavonski Brod, Croatia
    Marijana Knežević PravečekORCIDGeneral Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia

    *Correspondence email: karlopetosic07@gmail.com

    Full Text

    The use of telemedicine in prehospital care of STEMI patients in Brodsko-Posavska County enables timely recognition and activation of the intervention team in the percutaneous coronary intervention center, which directly contributes to a shorter time from first medical contact to reperfusion. The high rate of aspirin administration, timely venous access and 12-lead electrocardiogram within the recommended time frame indicate good adherence to clinical guidelines in the daily work of emergency medical teams. However, differences in the availability of teams with medical staff and logistical challenges in remote areas remain obstacles to achieving optimal time intervals. The integration of highly educated nurses and technicians with specialized competencies in emergency medicine represents a significant advance and offers the potential for further improvements in the quality of care, especially in teams without the constant presence of a physician. (1–3) Further research is needed to monitor treatment outcomes and assess the effectiveness of current protocols.

    Literature

    1. 1.
      Mišković A, Glavić J, Omerbašić M, Bardak B. Spolne razlike u učestalosti i kliničkoj prezentaciji akutnog infarkta miokarda u izvanbolničkoj hitnoj medicinskoj službi. Acta Med Croatica. 2020;74(3):279–83.Link
    2. 2.
      Russo RG, Wikler D, Rahimi K, Danaei G. Self-Administration of Aspirin After Chest Pain for the Prevention of Premature Cardiovascular Mortality in the United States: A Population-Based Analysis. J Am Heart Assoc. 2024 June 4;13(11):e032778.DOI
    3. 3.
      Ositech Communications Inc. Pre-hospital ECG Transmission. (October 18, 2025).Link