Education on Heart Attack and Emergency Medical Services Response in Areas with High Risk and Low EMS Utilization: A Stepped-Wedge Cluster-Randomized Study - Takeaways - MDSpire
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Education on Heart Attack and Emergency Medical Services Response in Areas with High Risk and Low EMS Utilization: A Stepped-Wedge Cluster-Randomized Study

  • By

  • Janet E. Bray

  • Ziad Nehme

  • Judith C. Finn

  • Jessica Kasza

  • Janelle Woods

  • Robyn A. Clark

  • Dion Stub

  • Dominique A. Cadilhac

  • Joosup Kim

  • Ben J. Smith

  • Susie Cartledge

  • Alison Beauchamp

  • Rhys Bowden

  • Natasha Dodge

  • Elizabeth Flemming-Judge

  • Clara Chow

  • Nicholas Cox

  • William van Gaal

  • Voltaire Nadurata

  • Peter Cameron

  • Heart Matters Investigators

  • Karen Smith

  • Tony Walker

  • Adam J Stormont

  • Amanda K Buttery

  • Roni Beauchamp

  • Erin R Bowen

  • Roslyn Cochrane

  • James Nigro

  • Donna N Koik

  • Alicja T Najbar-Kaszkiel

  • Nousa Sooriah

  • Anita Sterling

  • Georgie Ockenden

  • Elizabeth Cerini

  • Kelly E Donnelly

  • Jesse D Lewis

  • Ararso Olani

  • Kelly-Ann Jolly

  • April 27, 2026

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  • 1

    Acute coronary syndrome (ACS) is a leading cause of death, with patient delays in seeking emergency medical services (EMS) worsening clinical outcomes.

  • 2

    The Heart Matters trial aimed to improve ACS knowledge and EMS utilization in high-risk local government areas through a community education campaign.

  • 3

    The trial was conducted in 8 high-risk LGAs in Victoria, Australia, using a stepped-wedge cluster-randomized design for practical implementation.

  • 4

    Key intervention strategies included in-person education, targeted media campaigns, and distribution of Heart Attack Action Plans to raise awareness.

  • 5

    The study's design and implementation were guided by community engagement, with a focus on culturally diverse populations and local health professionals.

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