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2 Minute EBP Challenge

Monday, February 13, 2012
Treatment of "Wake Up" Stroke
In up to 25% of patients with stroke the onset time is unknown. If the patient woke up with ischemic stroke symptoms, what would be the most appropriate treatment?

Monday, February 06, 2012
Compression Stockings and VTE
Which of the following statements about compression elastic stockings for prevention of venous thromboembolism (VTE) is true?

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

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  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Home > 2 Minute EBP Challenge > Making the Most of the Golden 1/2 Hour

    Making the Most of the Golden 1/2 Hour

    Tuesday, December 13, 2011
    2 Minute EBP CHallenge

    Stay up-to-date the easy way!

    How would you answer this question?

    Patients that present to a rural hospital should be transferred to a facility that performs percutaneous coronary intervention (PCI) within 30 minutes.  Which of the following factors delayed transport the most?

    a. Younger age
    b. Evaluation at a rural hospital
    c. Female sex
    d. Contraindication to fibrolytics

    The correct answer is "a" younger age.

    See the video response on YouTube

    The American Heart Association (AHA) recommends that all patients presenting to a rural hospital with myocardial infarction transfer to an institution that provides percutaneous coronary intervention (PCI) within 30 minutes.  Recent data suggest that less than 10% of patients are transferred within 30 minutes and that 31% are transferred as long as 90 minutes or more after presentation.  The risk of dying from myocardial infarction is 56% higher when transfer time is greater than 30 minutes.

    Patients aged 19-35 were transferred 18.3 minutes later than older patients; evaluation at a rural hospital delayed transport by 15.3 minutes; female sex resulted in a 8.9 minute delay; and contraindication to fibrolytics resulted in a 6.9 minutes.

    The authors suggest that the focus be changed from timely transport to a PCI facility to administration of fibrolytics at outlying hospitals, or even by Emergency Medical Services in route to rural hospitals, followed by PCI within 24 hours.  These goals may be more realistic based on the high variability of treatment times evidenced in this study.

    From: Herrin J, et al. (2011).  National performance on door-in to door-out time among patients transferred for primary percutaneous coronary intervention.  Arch Intern Med., 171, 1879-1886.

    Congratulations to Bob Gurske who won an autographed copy of my 101 Tips to Improve Your Nursing Care book for answering this week's question correctly.  Congratulations Bob!   

    Get free Nursing Tips by texting NursingTips to 86677. 
    And share your nursing tips with others by subscribing to 101 Nursing Tips

    Best wishes,
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
    President,     Ed4Nurses, Inc.

    (c) 2011 Ed4Nurses, Inc.  Feel free to print this e-mail and share it with your colleagues. Other forms of digital or print reproduction are prohibited without prior written consent from Ed4Nurses, Inc.
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