Point-of-care troponin testing during ambulance transport to detect acute myocardial infarction

JP Stopyra, AC Snavely, JF Scheidler… - Prehospital …, 2020 - Taylor & Francis
Objective: Use of point-of-care (POC) troponin (cTn) testing in the Emergency Department
(ED) is well established. However, data examining POC cTn measurement in the prehospital …

[HTML][HTML] Prehospital trauma scene and transport times for pediatric and adult patients

NP Ashburn, NW Hendley, RM Angi… - Western journal of …, 2020 - ncbi.nlm.nih.gov
Methods We performed a retrospective cohort study of blunt and penetrating trauma patients
in a five-county region in North Carolina using prehospital records. We included patients …

Comparison of accelerated diagnostic pathways for acute chest pain risk stratification

J Stopyra, AC Snavely, B Hiestand, BJ Wells… - Heart, 2020 - heart.bmj.com
Background The History Electrocardiogram Age Risk factor Troponin (HEART) Pathway and
Emergency Department Assessment of Chest pain Score (EDACS) are validated …

[HTML][HTML] Prehospital use of a modified HEART pathway and point-of-care troponin to predict cardiovascular events

JP Stopyra, AC Snavely, LM Smith, RD Harris… - PloS one, 2020 - journals.plos.org
The HEART Pathway is a validated risk stratification protocol for Emergency Department
patients with chest pain that has yet to be tested in the prehospital setting. This study seeks …

Sex and race differences in safety and effectiveness of the HEART pathway accelerated diagnostic protocol for acute chest pain

AC Snavely, N Hendley, JP Stopyra, KM Lenoir… - American heart …, 2021 - Elsevier
Background The HEART Pathway is an accelerated diagnostic protocol for Emergency
Department patients with possible acute coronary syndrome. The objective was to compare …

Performance of prehospital use of chest pain risk stratification tools: the RESCUE study

JP Stopyra, AC Snavely, NP Ashburn… - Prehospital …, 2023 - Taylor & Francis
Background Emergency medical services (EMS) assesses millions of patients with chest
pain each year. However, tools validated to risk stratify patients for acute coronary syndrome …

The disutility of stress testing in low-risk HEART Pathway patients

NP Ashburn, ZP Smith, KJ Hunter, NW Hendley… - The American journal of …, 2021 - Elsevier
Abstract Background The HEART Pathway identifies low-risk chest pain patients for
discharge from the Emergency Department without stress testing. However, HEART …

The ethical dilemma of emergency department patients with low-risk chest pain

NW Hendley, J Moskop, NP Ashburn… - Emergency Medicine …, 2021 - emj.bmj.com
Millions of patients present to US EDs each year with symptoms concerning for acute
coronary syndrome (ACS), but fewer than 10% are ultimately diagnosed with ACS. Well …

[HTML][HTML] Prehospital translation of chest pain tools (RESCUE Study): completion rate and inter-rater reliability

AC Snavely, SA Mahler, NW Hendley… - Western Journal of …, 2022 - ncbi.nlm.nih.gov
Methods We conducted a prospective observational cohort study in two emergency medical
services (EMS) agencies (April 18, 2018–January 2, 2019). Adults with acute, non-traumatic …

Patient Abandonment in the Emergency Department?

GR Maradiaga, N Hendley… - The American Journal of …, 2022 - Taylor & Francis
How should the hospital's ethics consultation service respond to this request from the
Emergency Department (ED) for advice about “how to proceed” in caring for ED patient …