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Meeting abstract

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

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

Karlo Petošić orcid id orcid.org/0009-0009-1963-1199 ; Health Centre Brod-Posavina County, Slavonski Brod, Croatia
Marijana Knežević Praveček orcid id orcid.org/0000-0002-8727-7357 ; General Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia


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Abstract

Keywords

emergency medical services; myocardial infarction; prehospital care

Hrčak ID:

343445

URI

https://hrcak.srce.hr/343445

Publication date:

15.1.2026.

Visits: 213 *



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 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/38690705

3 

Ositech Communications Inc. Pre-hospital ECG Transmission.https://ositech.com/applications/pre-hospital-ecg-transmission/ (October 18, 2025).


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