Ever since I have been in EMS — 24 years now — I have heard the discussions about ambulance availability, the need to leave a fully completed documented run form before leaving the hospital, and the need to improve paramedic pay.

The New England Medical Journal released a major new observational study that showed that despite a significant reduction in door to balloon time in recent years, there has not been a corresponding decline in 30 –day in-hospital mortality.

Early notification must be > or = to the amount of time it takes the cath lab to be ready to accept the patient to achieve optimal benefit.