{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:41:06Z","timestamp":1761709266801},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":2280,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X00003435_sec01\"><jats:title><jats:bold>Introduction:<\/jats:bold><\/jats:title><jats:p>Aspirin is administered to patients with acute coronary syndromes (ACSs), but prehospital providers do not administer aspirin to all patients with chest pain that could be secondary to an ACS.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00003435_sec02\"><jats:title><jats:bold>Objective:<\/jats:bold><\/jats:title><jats:p>To identify reasons prehospital providers fail to administer aspirin to all patients complaining of chest pain.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00003435_sec03\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>A convenience sample of prehospital providers was surveyed as they transported patients with a chief complaint of chest pain to the emergency department. The providers were asked if they had given aspirin, nitroglycerin, or oxygen, or if they utilized a monitor. If the medications had not been administered, the paramedic was asked about the reason. The patient's age and previous cardiac history also was recorded.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00003435_sec04\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>A total of 52 patients with chest pain who were transported were identified over eight weeks, and all of the providers agreed to participate in the study. Only 13 of the patients (25%) received aspirin. Reasons given for not administering aspirin to the other 39 patients included: (1) chest pain was not felt to be cardiac in 13 patients (33%); (2) 10 patients already had taken aspirin that day (26%); (3) the medical provider was a basic-level emergency medical technician (EMT)-Basic and could not administer aspirin to six patients (15%); (4) pain subsided prior to arrival of emergency medical services (EMS) in these three patients; and (5) other reasons were provided for the remaining seven patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00003435_sec05\"><jats:title><jats:bold>Conclusions:<\/jats:bold><\/jats:title><jats:p>The most common reason that paramedics did not administer aspirin was the paramedic's belief that the chest pain was not of a cardiac nature. Another common reason for not giving aspirin was the inability of EMT-Basic providers to administer aspirin.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00003435","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T07:48:37Z","timestamp":1472024917000},"page":"101-103","source":"Crossref","is-referenced-by-count":10,"title":["Reasons Prehospital Personnel Do Not Administer Aspirin to All Patients Complaining of Chest Pain"],"prefix":"10.1017","volume":"21","author":[{"given":"Edmond A.","family":"Hooker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylor","family":"Benoit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy G.","family":"Price","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00003435_ref017","doi-asserted-by":"crossref","unstructured":"17Fourth International Study of Infarct Survival Collaborative Group: ISIS-4: A randomised factorial trial assessing early oral captopril, oral mononitrate, and intravenous magnesium sulphate in 58,050 patients with suspected acute myocardial infarction. Lancet 1995;345(8951), 669\u2013685.","DOI":"10.1016\/S0140-6736(95)90865-X"},{"key":"S1049023X00003435_ref005","doi-asserted-by":"publisher","DOI":"10.1080\/312703002211"},{"key":"S1049023X00003435_ref002","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00440130030004"},{"key":"S1049023X00003435_ref006","doi-asserted-by":"publisher","DOI":"10.1080\/10903120190939454"},{"key":"S1049023X00003435_ref007","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.6.478"},{"key":"S1049023X00003435_ref011","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00042114"},{"key":"S1049023X00003435_ref010","doi-asserted-by":"publisher","DOI":"10.1080\/10903120090941678"},{"key":"S1049023X00003435_ref013","first-page":"463","article-title":"Association of atypical chest pain presentations by African Americans and the lack of utilization of reperfusion therapy","volume":"11","author":"Summers","year":"2001","journal-title":"Ethn Dis"},{"key":"S1049023X00003435_ref014","doi-asserted-by":"publisher","DOI":"10.1080\/10903129908958966"},{"key":"S1049023X00003435_ref008","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.001701"},{"key":"S1049023X00003435_ref016","volume-title":"To Err is Human: Building a Safer Health System","author":"Kohn","year":"2000"},{"key":"S1049023X00003435_ref001","unstructured":"1Second International Study of Infarct Survival Collaborative Group: Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction. ISIS-2. Lancet 19882(8607), 349\u2013360."},{"key":"S1049023X00003435_ref003","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)02256-1"},{"key":"S1049023X00003435_ref004","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00001990"},{"key":"S1049023X00003435_ref009","doi-asserted-by":"publisher","DOI":"10.1080\/10903120590891688"},{"key":"S1049023X00003435_ref012","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-199909000-00008"},{"key":"S1049023X00003435_ref015","first-page":"61","article-title":"Evaluating chest pain in the emergency department","volume":"159","author":"Murata","year":"1993","journal-title":"West J Med"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00003435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T20:26:26Z","timestamp":1556828786000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00003435\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["S1049023X00003435"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00003435","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,4]]}}}