Observation or Action |
Subtle Cues (1-4 Mins) |
Obvious Cues (4-7.5 Mins) |
Paired Sample- Repeated Measurest-Test |
|
Parameter |
% Correct |
Parameter |
% Correct |
t |
df |
Significance (2-Tailed); 95% CI†
|
Observation |
|
|
|
|
|
|
|
Pain assessment |
5/10 |
73.5 |
9/10 |
38.2 |
3.55 |
32 |
0.001 (CI: 0.14-0.55) |
Nitrates |
N/A |
- |
|
94.3 |
|
|
|
BP |
150/95 |
91.4 |
170/95 |
74.3 |
1.79 |
34 |
NS: 0.08 (CI: -0.24-0.37) |
HR |
110 |
57.1 |
140 |
42.9 |
1.22 |
34 |
NS: 0.23 (CI: -0.09-0.38) |
RR |
20 |
11.4 |
32 |
5.9 |
0.81 |
33 |
NS: 0.42 (CI: -0.09-0.21) |
CRT |
2 secs |
0.0 |
2 secs |
0.0 |
0.00 |
34 |
NS: 1.00 |
Oxygen saturation |
95% |
65.7 |
89% |
29.4 |
3.42 |
34 |
0.002 (CI: 0.16-0.61) |
Temperature |
36.8 |
34.3 |
N/A |
- |
|
|
|
Early Action |
|
|
|
|
|
|
|
Obtain immediate history |
|
80.0 |
|
|
|
|
|
Obtain/review rhythm strip/12 lead |
|
91.4 |
|
|
|
|
|
Investigate current medication usage |
|
37.1 |
|
|
|
|
|
Identify other symptoms |
|
8.6 |
|
|
|
|
|
Consider non-cardiac causes of chest pain |
|
17.1 |
|
|
|
|
|
Give Aspirin (sublingual) |
|
23.5 |
|
|
|
|
|
Late Action |
|
|
|
|
|
|
|
Call for urgent assistance |
|
|
|
91.4 |
|
|
|
Position appropriately |
|
|
|
67.6 |
|
|
|
Administer oxygen |
|
|
|
94.3 |
|
|
|
Ensure /IV cannulation |
|
|
|
82.9 |
|
|
|
Morphine |
|
|
|
82.9 |
|
|
|
Sub-total cues |
|
45.5% |
|
58.7% |
|
|
|
Overall: combined cues |
|
|
|
52.1% |
|
|
|