Question/Topic

[MEDIC2BMD@aol.com]

Greetings, 

Are there any programs out there using Glycoprotein IIb/IIIa inhibitors 
and/or half dose Fibrinolytics prior to an interventional cardiac cath (PCI)?  Our 
region, here in Southern Oregon, recently implemented a new ST Elevation MI 
(STEMI) protocol bypassing local hospital facilities and taking patients who 
meet the criteria to the Interventional Cardiac Cath facility.  I cannot find any 
statistical data supporting the use of IIb/IIIa inhibitors and/or 
Fibrinolytics prior to a cath or during transport.  (i.e. for long flights/transports)  I 
do know, from attending the AMTC conference, that other programs do 
administer these agents in the field.  Does anyone have any imput, experience, personal 
feelings, and/or articles about this?  Please E-mail me at Medic2bmd@aol.com, 
or you can respond to the posted topic.

Thank you!

-John

John Lohrfink, NREMT-P, CCEMTP, FP-C
Mercy Flights, Inc.  Medford, Oregon
Clinical Coordinator RCC Paramedic Program
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