Can J Emerg Med
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Multicenter Study
A door-to-needle time of 30 minutes or less for myocardial infarction thrombolysis is possible in rural emergency departments.
The Canadian Emergency Cardiac Care Coalition, the American Heart Association and similar groups have established a benchmark for the administration of thrombolytics in acute myocardial infarction (AMI) care as a door-to-needle (DTN) time of 30 minutes or less. Previous research suggests that this goal is not being achieved in Canada. The purpose of this study was to determine whether the target DTN time of 30 minutes or less for thrombolysis could be met in 2 rural Ontario emergency departments (EDs). ⋯ A DTN time of 30 minutes or less is achievable in rural EDs.