Home › Cardiac (non-arrest) › Only a third get PHT within 30 min

Cardiac (non-arrest)

Only a third get PHT within 30 min

Determinants of Timely Prehospital Thrombolysis Administration within a Pharmacoinvasive STEMI Network in Victoria, Australia
Prehospital Emergency Care · Added 30 July 2026

This Australian study identifies factors affecting timely prehospital thrombolysis delivery in Victoria's pharmacoinvasive STEMI network.

Study type

Registry

Design

Retrospective registry cohort, Victorian Ambulance STEMI Quality Initiative

Participants

1440 adults treated with paramedic thrombolysis for suspected STEMI, 2018-2023

Main finding

32.5% received prehospital thrombolysis within 30 min of first medical contact (median 37 min); delay associated with mild pain severity (aOR 2.08), clinical consultation and after-hours presentation, while ECG within 10 min reduced delay (aOR 0.40); times improved 17% per year (aOR 0.83)

Caveat

Retrospective registry data; suspected rather than confirmed STEMI

Bottom line

Hypothesis-generating

Learning goal

Strengthen my judgement on delivering timely prehospital thrombolysis for STEMI within national pharmacoinvasive pathways.

More

• Topic: Cardiac (non-arrest)
• Daily scan: 30 July 2026

Related papers on Cardiac (non-arrest)

• 48-hour AF cardioversion threshold abandoned

  Emergency Medicine Australasia · 22 Sep 2026 · Guideline / statement · Context only

  EMA commentary arguing the once-conventional 48-hour elective cardioversion threshold for recent-onset atrial fibrillation is no longer supported

• Aortic emergencies: HR/BP drugs in transport

  Prehospital Emergency Care · 22 Sep 2026 · Cohort · Context only

  Cohort of 1,530 aortic emergencies in US critical care transport — esmolol, labetalol and nicardipine strategies hit HR/BP targets at similar rates, with esmolol alone showing the highest hypotension incidence (9.3%) and labetalol alone the lowest (2.1%)

• LLMs unreliable for cath-lab activation ECGs

  Heart & Lung · 17 Sep 2026 · Other · Context only

  Retrospective test of three multimodal LLMs against real cardiology cath-lab activation decisions on 615 prehospital ECGs found the best (Gemini, 95.3% sensitivity) had 9.4% specificity, and the standard ECG machine algorithm beat all three LLMs overall — general-purpose LLMs aren't reliable for STEMI pathway activation.

• FLAG score predicts circulatory support need in shock

  Heart & Lung · 27 Jul 2026 · Cohort · Hypothesis-generating

  The FLAG risk score is a simple, registry-based model to predict MCS treatment during hospital stay in a prehospital setting.