Moving closer to paramedic ACS rule-out in the field

Marc Colbeck


This editorial looks at paramedics ruling out /ACSAMI in the pre-hospital setting.


emergency treatment; prehospital care; ACS

Full Text:



Lee CP, Uk M, Medicine MI, et al. Advances emergency physician estimates of the probability of acute coronary syndrome in a cohort of patients enrolled in a study of coronary computed tomographic angiography. CJEM 2012;14:147–56.

Grimes DA, Schulz KF. Refining clinical diagnosis with likelihood ratios. Lancet 2005;365:1500–5.

Brady WJ, Perron AD, Martin ML, Beagle C, Aufderheide TP. Cause of ST segment abnormality in ED chest pain patients. Am J Emerg Med 2001;19:25–8.

Morris F, Brady WJ. Acute myocardial infarction - Part I. BMJ 2002;324:831 –34.

Colbeck M. Paramedic diagnosis of acute coronary syndrome in the out-of-hospital patient with acute, non-traumatic chest pain: The RSVP3 HEART Exam. Australasian Journal of Paramedicine 2016;13(4).

Ishak M, Ali D, Fokkert MJ, et al. Fast assessment and management of chest pain patients without ST-elevation in the pre-hospital gateway (FamouS Triage): ruling out a myocardial infarction at home with the modified HEART score. Eur Heart J Acute Cardiovasc Care 2017. [EPub ahead of print]. DOI: 10.1177/2048872616687116.



  • There are currently no refbacks.

Australasian College of Paramedicine © 2020                           ISSN: 2202-7270


Crossref Member Badge