{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T16:34:01Z","timestamp":1758299641698,"version":"3.44.0"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Electrocardiology"],"published-print":{"date-parts":[[2020,3]]},"DOI":"10.1016\/j.jelectrocard.2019.12.013","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T11:45:17Z","timestamp":1577360717000},"page":"10-16","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Derivation and validation of the Montreal prehospital ST-elevation myocardial infarction activation rule"],"prefix":"10.1016","volume":"59","author":[{"given":"Eli","family":"Segal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dave","family":"Ross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-H\u00e9l\u00e8ne","family":"Proulx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoqing","family":"Xue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlene","family":"Vacon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0005","first-page":"E1","volume":"82","author":"O\u2019Gara","year":"2013","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0010","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.ajem.2013.04.013","article-title":"An algorithm for identification of ST-elevation myocardial infarction patients by emergency medicine services","volume":"31","author":"Wilson","year":"2013","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0015","first-page":"208","article-title":"Factors associated with false-positive emergency medical services triage for percutaneous coronary intervention","volume":"10","author":"Swan","year":"2009","journal-title":"West J Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0020","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.amjcard.2013.03.005","article-title":"Performance of a new \u201cphysician-less\u201d automated system of prehospital ST-segment elevation myocardial infarction diagnosis and catheterization laboratory activation","volume":"112","author":"Potter","year":"2013","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0025","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.ahj.2012.05.009","article-title":"Prehospital diagnosis and triage of ST-elevation myocardial infarction by paramedics without advanced care training","volume":"164","author":"Cantor","year":"2012","journal-title":"Am Heart J"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0030","doi-asserted-by":"crossref","first-page":"496","DOI":"10.3109\/10903127.2015.1005260","article-title":"The utility of prehospital ECG transmission in a large EMS system","volume":"19","author":"Bosson","year":"2015","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0035","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1080\/10903127.2016.1247200","article-title":"Causes of prehospital misinterpretations of ST elevation myocardial infarction","volume":"21","author":"Bosson","year":"2017","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0040","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1161\/CIRCOUTCOMES.111.961672","article-title":"Retrospective description and analysis of consecutive catheterization laboratory ST-segment elevation myocardial infarction activations with proposal, rationale, and use of a new classification scheme","volume":"5","author":"Mixon","year":"2012","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0045","doi-asserted-by":"crossref","first-page":"2577","DOI":"10.1056\/NEJMp1007901","article-title":"Sleep deprivation, elective surgical procedures, and informed consent","volume":"363","author":"Nurok","year":"2010","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0050","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1001\/jama.2009.1423","article-title":"Risks of complications by attending physicians after performing nighttime procedures","volume":"302","author":"Rothschild","year":"2009","journal-title":"Jama"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0055","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1016\/j.jacc.2012.08.001","article-title":"Third universal definition of myocardial infarction","volume":"60","author":"Thygesen","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0060","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1056\/NEJM199602223340801","article-title":"Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. GUSTO-1 (global utilization of streptokinase and tissue plasminogen activator for occluded coronary arteries) investigators","volume":"334","author":"Sgarbossa","year":"1996","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0065","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ahj.2005.02.043","article-title":"Unraveling the spectrum of left bundle branch block in acute myocardial infarction: insights from the assessment of the safety and efficacy of a new thrombolytic (ASSENT 2 and 3) trials","volume":"151","author":"Al-Faleh","year":"2006","journal-title":"Am Heart J"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0070","first-page":"360","article-title":"Understanding interobserver agreement: the kappa statistic","volume":"37","author":"Viera","year":"2005","journal-title":"Fam Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0075","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/S0735-1097(96)00532-3","article-title":"The prehospital electrocardiogram in acute myocardial infarction: is its full potential being realized? National Registry of Myocardial Infarction 2 Investigators","volume":"29","author":"Canto","year":"1997","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0080","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.ajem.2005.02.004","article-title":"The prehospital 12-lead electrocardiogram\u2019s effect on time to initiation of reperfusion therapy: a systematic review and meta-analysis of existing literature","volume":"23","author":"Brainard","year":"2005","journal-title":"Am J Emerg Med"},{"issue":"176\u201386","key":"10.1016\/j.jelectrocard.2019.12.013_bb0085","article-title":"Systematic review and meta-analysis of the benefits of out-of-hospital 12-lead ECG and advance notification in ST-segment elevation myocardial infarction patients","volume":"64","author":"Nam","year":"2014","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0090","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.jacc.2008.09.030","volume":"53","author":"Diercks","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0095","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jelectrocard.2005.06.034","article-title":"Prehospital evaluation in ST-elevation myocardial infarction patients treated with primary percutaneous coronary intervention","volume":"38","author":"Terkelsen","year":"2005","journal-title":"J Electrocardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0100","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1161\/CIRCULATIONAHA.108.190402","volume":"118","author":"Ting","year":"2008","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0105","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/S0002-9149(02)02685-1","article-title":"Comparison of the ability of paramedics with that of cardiologists in diagnosing ST-segment elevation acute myocardial infarction in patients with acute chest pain","volume":"90","author":"Sejersten","year":"2002","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0110","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1080\/10903120802706153","article-title":"Can paramedics read ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms?","volume":"13","author":"Trivedi","year":"2009","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0115","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/10903120701536784","article-title":"The positive predictive value of paramedic versus emergency physician interpretation of the prehospital 12-lead electrocardiogram","volume":"11","author":"Davis","year":"2007","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0120","doi-asserted-by":"crossref","first-page":"490","DOI":"10.3109\/10903127.2011.598613","article-title":"Paramedic contact to balloon in less than 90 minutes: a successful strategy for st-segment elevation myocardial infarction bypass to primary percutaneous coronary intervention in a Canadian emergency medical system","volume":"15","author":"Cheskes","year":"2011","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0125","doi-asserted-by":"crossref","DOI":"10.1016\/S1474-4422(05)70201-5","article-title":"The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument","volume":"4","author":"Nor","year":"2005","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/10903127.2013.836263","article-title":"Effect of prehospital cardiac catheterization lab activation on door-to-balloon time, mortality, and false-positive activation","volume":"18","author":"Squire","year":"2014","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0135","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/0735-6757(94)90192-9","article-title":"Prehospital recognition of AMI using independent nurse\/paramedic 12-lead ECG evaluation: impact on in-hospital times to thrombolysis in a rural community hospital","volume":"12","author":"Foster","year":"1994","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0140","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1017\/S1481803500014196","article-title":"Diagnostic performance and potential clinical impact of advanced care paramedic interpretation of ST-segment elevation myocardial infarction in the field","volume":"8","author":"Le May","year":"2015","journal-title":"Canadian J. Emerg. Med."},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0145","doi-asserted-by":"crossref","first-page":"203","DOI":"10.3109\/10903127.2012.755585","article-title":"Paramedic ability to recognize ST-segment elevation myocardial infarction on prehospital electrocardiograms","volume":"17","author":"Mencl","year":"2013","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0150","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1136\/emj.19.1.66","article-title":"Recognition of ST elevation by paramedics","volume":"19","author":"Whitbread","year":"2002","journal-title":"Emerg. Med, J."},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0155","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.ajem.2004.10.011","article-title":"Real-time paramedic compared with blinded physician identification of ST-segment elevation myocardial infarction: results of an observational study","volume":"23","author":"Feldman","year":"2005","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0160","first-page":"174","article-title":"Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction","volume":"75","author":"Rao","year":"2010","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0165","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/j.amjcard.2006.05.042","article-title":"Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE])","volume":"98","author":"Adams","year":"2006","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0170","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.jacc.2007.04.049","article-title":"ST-segment analysis using wireless technology in acute myocardial infarction (STAT-MI) trial","volume":"50","author":"Dhruva","year":"2007","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0175","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.jcin.2010.11.007","article-title":"The STAT-MI (ST-segment analysis using wireless technology in acute myocardial infarction) trial improves outcomes","volume":"4","author":"Sanchez-Ross","year":"2011","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0180","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1067\/mhj.2000.108240","article-title":"Strict reliance on a computer algorithm or measurable ST segment criteria may lead to errors in thrombolytic therapy eligibility","volume":"140","author":"Massel","year":"2000","journal-title":"Am Heart J"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0185","doi-asserted-by":"crossref","first-page":"94","DOI":"10.2310\/8000.2013.131031","article-title":"Computerized interpretation of the prehospital electrocardiogram: predictive value for ST segment elevation myocardial infarction and impact on on-scene time","volume":"16","author":"de Champlain","year":"2014","journal-title":"Cjem"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0190","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3109\/10903127.2012.722176","article-title":"Prehospital electrocardiographic computer identification of ST-segment elevation myocardial infarction","volume":"17","author":"Bhalla","year":"2013","journal-title":"Prehosp Emerg Care"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0195","doi-asserted-by":"crossref","first-page":"1696","DOI":"10.1016\/j.amjcard.2010.07.047","article-title":"Automated electrocardiogram interpretation programs versus cardiologists\u2019 triage decision making based on teletransmitted data in patients with suspected acute coronary syndrome","volume":"106","author":"Clark","year":"2010","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0200","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1111\/j.1553-2712.2008.00186.x","article-title":"A comparison of door-to-balloon times and false-positive activations between emergency department and out-of-hospital activation of the coronary catheterization team","volume":"15","author":"Youngquist","year":"2008","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0205","first-page":"1165","article-title":"A Bayesian sensitivity analysis of out-of-hospital 12-lead electrocardiograms: implications for regionalization of cardiac care","volume":"14","author":"Youngquist","year":"2007","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0210","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0104874","article-title":"Impact of ECG findings and process-of-care characteristics on the likelihood of not receiving reperfusion therapy in patients with ST-elevation myocardial infarction: results of a field evaluation","volume":"9","author":"Brown","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.jelectrocard.2019.12.013_bb0215","first-page":"1325 e11","article-title":"Outcomes of patients with ST-elevation myocardial infarction receiving and not receiving reperfusion therapy: the importance of examining all patients","volume":"32","author":"Lambert","year":"2016","journal-title":"Can J Cardiol"},{"year":"2007","series-title":"Protocoles d\u2019intervention clinique \u00e0 l\u2019usage des techniciens ambulanciers param\u00e9dics (PICTA-P)","key":"10.1016\/j.jelectrocard.2019.12.013_bb0220"}],"container-title":["Journal of Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073619307460?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073619307460?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T12:30:27Z","timestamp":1758285027000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022073619307460"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":44,"alternative-id":["S0022073619307460"],"URL":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2019.12.013","relation":{},"ISSN":["0022-0736"],"issn-type":[{"type":"print","value":"0022-0736"}],"subject":[],"published":{"date-parts":[[2020,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Derivation and validation of the Montreal prehospital ST-elevation myocardial infarction activation rule","name":"articletitle","label":"Article Title"},{"value":"Journal of Electrocardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2019.12.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}