{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:55:46Z","timestamp":1785405346670,"version":"3.56.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"unspecified","delay-in-days":147,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1049023X26108929_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Prehospital electrocardiogram teletransmission (E-ECG) enables early cardiac diagnosis and triage in the field. This study assessed its diagnostic and operational impact in a real-world Emergency Medical Service (EMS) in Marseille, France.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108929_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective, single-center observational study including adults \u226518 years who underwent E-ECG acquisition by Marseille first responders from January 1 through September 15, 2023 was conducted. Electronically transmitted prehospital ECGs were transmitted via\n                      <jats:italic>Schiller<\/jats:italic>\n                      devices to medical regulators. Patients with trauma, pediatric age, pregnancy, training cases, uninterpretable ECGs, or incomplete files were excluded. The main outcome was the proportion of acute ECG abnormalities (signs of ischemia, rhythm, or conduction disorders).\n                    <\/jats:p>\n                    <jats:p>Secondary outcomes included reinforcement requests, patient orientation, and transport mode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108929_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 425 included patients (Median age: 56 years [IQR 40\u201372]; 61% male), 21.9 % (n = 93) presented abnormal ECGs, including 2.1% with ST-elevation myocardial infarction (STEMI). Transmission results led to management changes in 11.5% of cases (n = 49): 8.2% required additional medical reinforcement and 3.3% underwent direct cardiology triage without medical reinforcement. Technical issues occurred in 15.8% of transmissions (n = 67).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108929_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Prehospital ECG teletransmission allowed early detection of cardiac abnormalities and was associated with changes in patient management in a subset of cases. Its integration in emergency workflows could enhance triage, optimize cardiology routing, and strengthen coordination between field teams and regulation centers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1049023x26108929","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:48:30Z","timestamp":1779954510000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["MARS E-ECG: Prehospital Electrocardiogram Teletransmission by Firefighter Rescuers: A Retrospective Pilot Study within a Physician-Based EMS System"],"prefix":"10.1017","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5237-2760","authenticated-orcid":false,"given":"Julien","family":"Galant","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051dhry29","id-type":"ROR","asserted-by":"publisher"}],"name":"Bataillon de Marins-pompiers de Marseille"},{"id":[{"id":"https:\/\/ror.org\/0103yxp25","id-type":"ROR","asserted-by":"publisher"}],"name":"French Military Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathilde","family":"Corbu","sequence":"additional","affiliation":[{"name":"Montpellier University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Cazes","sequence":"additional","affiliation":[{"name":"Military Teaching Hospital Laveran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon Pierre","family":"Corcostegui","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0103yxp25","id-type":"ROR","asserted-by":"publisher"}],"name":"French Military Health Service"},{"name":"Paris Fire Brigade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilien","family":"Montaigu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051dhry29","id-type":"ROR","asserted-by":"publisher"}],"name":"Bataillon de Marins-pompiers de Marseille"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Renard","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051dhry29","id-type":"ROR","asserted-by":"publisher"}],"name":"Bataillon de Marins-pompiers de Marseille"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"S1049023X26108929_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2005.06.035"},{"key":"S1049023X26108929_ref5","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-19-0133"},{"key":"S1049023X26108929_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.199"},{"key":"S1049023X26108929_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2013.04.010"},{"key":"S1049023X26108929_ref17","unstructured":"17. Perrault, S. [The Impact of an ECG Teletransmission System Operated by Private Ambulance Personnel on the Prehospital Management of Chest Pain and Malaise: A Retrospective Study of 111 Patient Records at SAMU de la Vienne (86)\/Emergency Medicine Thesis]. 2017. Accessed April 15, 2023."},{"key":"S1049023X26108929_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.071"},{"key":"S1049023X26108929_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328331f9e5"},{"key":"S1049023X26108929_ref2","doi-asserted-by":"publisher","DOI":"10.3402\/jchimp.v2i1.14383"},{"key":"S1049023X26108929_ref7","doi-asserted-by":"publisher","DOI":"10.1536\/ihj.22-633"},{"key":"S1049023X26108929_ref3","doi-asserted-by":"crossref","first-page":"067","DOI":"10.1055\/s-0041-1723944","article-title":"Management of ST elevation myocardial infarction (STEMI) in different settings","volume":"30","author":"Partow-Navid","year":"2021","journal-title":"Int J Angiol"},{"key":"S1049023X26108929_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2024.06.012"},{"key":"S1049023X26108929_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000481"},{"key":"S1049023X26108929_ref13","first-page":"e47","article-title":"Prehospital ECG interpretation methods for ST-elevation MI detection and catheterization laboratory activation: a systematic review and meta-analysis","volume":"13","author":"Alrawashdeh","year":"2025","journal-title":"Arch Acad Emerg Med"},{"key":"S1049023X26108929_ref21","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2022.0271"},{"key":"S1049023X26108929_ref23","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad191"},{"key":"S1049023X26108929_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx393"},{"key":"S1049023X26108929_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.22.2941"},{"key":"S1049023X26108929_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4370-0"},{"key":"S1049023X26108929_ref20","doi-asserted-by":"publisher","DOI":"10.1080\/10903120290938102"},{"key":"S1049023X26108929_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.05.042"},{"key":"S1049023X26108929_ref16","unstructured":"16. Thirion, G. [Integration of Transmitted ECGs into Pre-hospital Medical Regulation Practice: The BSPP Experience (DESC Thesis in Emergency Medicine)]. 2018. Accessed April 15, 2023."},{"key":"S1049023X26108929_ref4","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2005.14.21.20073"},{"key":"S1049023X26108929_ref18","unstructured":"18. Regulation Support Guide. Paris: SAMU Urgences de France; 2004. Non-traumatic chest pain. https:\/\/www.guide-regulation-medicale.\/index.php?module=Ficheaction=FrontDetailView& record=931. Accessed December 15, 2018."}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X26108929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:48:33Z","timestamp":1779954513000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X26108929\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1049023X26108929"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x26108929","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}],"article-number":"e9"}}