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K M Gilmore

Publications and source records attributed to K M Gilmore.

2 recordsLinked to original sources
PubMed1990

Impact of field-transmitted electrocardiography on time to in-hospital thrombolytic therapy in acute myocardial infarction.

To assess the impact of a field-transmitted electrocardiogram (ECG) on patients with possible acute myocardial infarction, randomized and open trials were performed with a portable electrocardiographic system coupled with a cellular phone programmed to automatically transmit ECGs to the base hospital. Consecutive patients served by the 6 units of the Salt Lake City Emergency Rescue System were studied; 71 patients were randomized to in-field ECG (n = 34) versus no ECG (n = 37). Time on scene was 16.4 +/- 9.7 minutes for the ECG group versus 16.1 +/- 7.0 minutes for the non ECG group (difference not significant). Time of transport averaged 18.2 +/- 9.9 and 17.6 +/- 13.1 minutes, respectively (difference not significant). Six of 34 patients with in-field ECG showed acute myocardial infarction, qualified for and received thrombolytic therapy at 48 +/- 12 minutes after hospital arrival (range 30 to 60) compared with 103 +/- 44 minutes (p less than 0.01) for 51 historical control patients and 68 +/- 29 minutes for 6 concurrent control patients without in-field ECG. Thus, in-field ECG causes negligible delays in paramedic time, leads to significant decreases in time to in-hospital thrombolysis and may make in-field therapy feasible. In-field ECG may be an important addition to reperfusion strategies.

Allied Health Personnel↗
PubMed1981

Commitment to trauma in a low population density area.

Between January 1978 and March 1979, we conducted a prospective and retrospective study of 202 consecutive blunt trauma patients ages 11 to 92 years. All patients admitted through the trauma service to the intensive care units at LDS Hospital (Salt Lake City) from a low population density area were scored using the Injury Severity Score (ISS) and Glasgow Coma Score (GCS) and patients were categorized according to outcome. There were 30 deaths, for a mortality rate of 14.8%. Twenty-six patients had persistent morbidity, 12.9%. The mean ISS for death was 39; for morbidity, 36; and for patients who were successfully rehabilitated, 23. There were 119 patients with head injuries. The mean GCS was 7 for nonsurvivors, 10 for patients with morbidity, and 12 for rehabilitated patients. We conclude that commitment is a major factor in determining the effectiveness of any trauma system. We strongly encourage regionalization of trauma care and education of paramedics, emergency medical technicians, and physicians in the rapid triage of high-risk patients to a major trauma center.

Adolescent↗