Ā | Class and Levelb | Cognitive Aid (nā=ā8) | No Cognitive Aid (nā=ā10) | Differences in Adherence |
---|---|---|---|---|
Mandatory tasks (5) | Ā | Ā | Ā | Ā |
ā¢ Gives patient oxygen | IC | 8 (100.0) | 7 (70.0) | 30% |
ā¢ Gives patient i.v. opioids (fentanyl or morphine) | IC | 8 (100.0) | 9 (90.0) | 10% |
ā¢ Obtains 12-lead ECG as soon as possible | IB | 8 (100.0) | 8 (80.0) | 20% |
ā¢ Takes or orders blood sampling for troponin | IC | 5 (62.5) | 8 (80.0) | 17.5%a |
ā¢ Transfer to cardiac lab has highest treatment priority | IA | 7 (87.5) | 8 (80.0) | 7.5% |
Optional tasks (4) | Ā | Ā | Ā | Ā |
ā¢ Considers or gives aspirin i.v. | IB | 8 (100.0) | 8 (80.0) | 20% |
ā¢ Considers or gives unfractionated heparin i.v. | IC | 8 (100.0) | 9 (90.0) | 10% |
ā¢ Considers or gives i.v. metoprolol | IIa B | 7 (87.5) | 1 (10.0) | 77.5% |
ā¢ Considers or gives i.v. nitrates | IIa C | 8 (100.0) | 4 (40.0) | 60% |
Clinically relevant tasks by consensus (6) | Ā | Ā | Ā | Ā |
ā¢ Calls for help early | n/a | 8 (100.0) | 8 (80.0) | 20% |
ā¢ Informs surgeon | n/a | 8 (100.0) | 10 (100.0) | 0%a |
ā¢ Participant considers: Does surgeon consent to treatment? | n/a | 8 (100) | 9 (90.0) | 10% |
ā¢ Participant considers: Epidural-/spinal anaesthesia as contraindication? | n/a | 6 (75.0) | 0 (0.0) | 75% |
ā¢ Checks Hb and considers transfusion (aim Hb 7ā9Ā g/dl) | n/a; ESA-recommendation [3] | 1 (12.5) | 0 (0.0) | 12.5% |
ā¢ Participant knows phone number of cath lab | n/a | 8 (100.0) | 0 (0.0) | 100% |