Abstract Based on data from overseas and local case modelling, Rural Ambulance Victoria [RAV] implemented a pilot study of prehospital thrombolysis [PHT] for patients with ST Elevation Myocardial Infarction [STEMI] in the Bendigo region. The purpose of this report is to provide the background to the pilot, describe the PHT model, report the outcome of the single enrolled case and discuss various barriers to PHT implementation.
Tony Walker ASM BParamedStud, MICA Cert, GDipEd, GCertAppMgt, MACA
Tony Walker is a qualified Intensive Care Paramedic with over 19 years experience in both Metropolitan and Rural Operations. He is currently employed as the Manager Operations - Clinical and Education Services with Rural Ambulance Victoria where he is responsible for the learning, development and clinical practice for over 1400 Intensive Care and ambulance paramedics and volunteers throughout rural and regional Victoria. Tony's interests include paramedic education and research, community based flexible service delivery models and enhancing the provision of pre-hospital care in rural and remote areas. He is currently involved in a number of research projects including those examining the role of Rapid Sequence Intubation in severe head injury, Intranasal Fentanyl in pain relief and pre-hospital thrombolysis in reducing call-to-needle times for ST Elevation Myocardial Infarction. Tony holds an adjunct appointment as Associate Professor, Paramedic Sciences in the School of Health Sciences at Victoria University and currently chairs both the Australian College of Ambulance Professionals (Victorian Branch) and Australian Resuscitation Council (Victorian Branch). He is a member of a number of peak committees, including the Rural Ambulance Victoria and Metropolitan Ambulance Service Medical Standards Committees, Convention of Ambulance Authorities Clinical and Education Committees, Victorian State Trauma Committee and National Heart Foundation Acute Coronary Syndrome Guideline Working Group. In 2005 Tony was awarded the Ambulance Service Medal in the Australia Day Honours for his contribution to the development and provision of ambulance services.
Qualifications BN GradCertAdvNur ADHS(Ambulance Paramedic) AdvDipMICAStudies GradDipClinEpi MClinEpi (candidate)
Previous Appointments Registered Nurse - Emergency and Forensic Health (Correctional) Nursing Current
Mobile Intensive Care Ambulance (MICA) Paramedic - Clinical Specialist, Rural Ambulance VictoriaLecturer - Research Methods, Victoria University Member of Australian College of Ambulance Professionals Member of Australasian Trauma Society
Interests Clinical Education, Clinical Epidemiology and Pre-Hospital Evidence Based Practice
Other Articles by this Author:
A Critical Appraisal of the Revised Trauma Score The development of a prehospital search filter for the Cochrane Library
Mrs Debra Kerr
Deputy Director, The Joseph Epstein Centre for Emergency Medicine Research, Sunshine Hospital, 176 Furlong Rd, St Albans, VIC 3021
Professor Anne-Maree Kelly, MD MClinEd BS FACEM
Professor Kelly is Director of the Joseph Epstein Centre for Emergency Medicine Research in Melbourne, Australia and Professorial Fellow of The University of Melbourne. With over 150 publications, her research interests are broad and include pain management, acute cardiology, migraine, asthma, pneumothorax and medical education as well as blood gas analysis. She has a particular interest in the clinical utility of venous blood gas analysis compared with arterial sampling. Professor Kelly is an international editor for Annals of Emergency Medicine, is on the editorial board of Emergency Medicine Australasia and The Hong Kong Journal of Emergency Medicine and is a reviewer for journals as diverse as New England Journal of Medicine, British Journal of Sports Medicine, Medical Journal of Australia, Anesthesia and Analgesia and Science and Engineering Ethics.
Walker, Tony; Jennings, Paul; Kerr, Debra; Kelly, Anne-Maree; and Edington, John
"Pilot of Prehospital Thrombolysis in ST Elevation Myocardial Infarction,"
Journal of Emergency Primary Health Care:
1, Article 5.
Available at: http://ro.ecu.edu.au/jephc/vol6/iss1/5