Randomized Trial of Prehospital Tropin Levels in Acute Coronary Syndrome (ACS)

Randomized Trial of Prehospital Troponin Assessment Using the i-STAT Blood Analyzer

This study randomizes patients seen by Redmond Medic One into a control arm and a study arm when they present with acute coronary syndrome and have non-contributory ECG's (i.e.non-STEMI). The control group is treated normally and delivered to the receiving hospital. The study group is treated normally as well, however troponin measurements are made using an i-STAT blood analyzer prior to hospital arrival. The results are presented to the receiving physician. Door-to-reperfusion time is monitored for both groups.

Inclusion Criteria:

• Over years of age
• ACS without ST-segment elevation
• Patient being transported to one of two participating hospitals

Exclusion Criteria:

• Less then 18 years of age.
• Post cardiac arrest.
• ACS with ST-segment elevation.