EMS Brings Faster Care for Chest Pain
People with chest pain often take private transportation to
the hospital in the belief that this approach will be faster
than calling 911 and waiting for an Emergency Medical Services
(EMS) ambulance. But quicker care comes through EMS, a new study
The study involved 5,581 patients in 20 U.S. cities who had
gone to a hospital emergency department with chest pain.
The results confirmed the common view that private transportation
often gets a person to the emergency room faster than an ambulance.
But the time difference is small and may not be clinically significant:
Private transportation took 35 minutes compared with 39 minutes
Further, because EMS personnel can initiate diagnosis and treatment
on the scene, patients who called on EMS received initial care
within six minutes, much less than those relying on private transportation
who had to wait until they reached the hospital. Also, patients
who used EMS got from the emergency room door to thrombolytic
therapy faster than those who used private transportation (32
minutes vs. 49 minutes).
The study underscores the wisdom of relying on EMS for chest
pain. Trying to outrace the ambulance can in fact delay treatment.
American Heart Journal
Volume 147, page 35