The absence of demon- strated benefit may relate to reduced power to show change in Checklist. Improving Door-to-Device Times Prehospital ECG to diagnose STEMI is used to activate the PCI team while the patient is en route to the hospital. 2. Emergency physicians activate the PCI team. A single call to a central page operator activates the PCI team. Goal is set for the PCI team to arrive in the catheterization laboratory with in 20 minutes after being paged. Timely data feedback and analysis are provided to members of the STEMI care team. O Gara et al 2013 ACCF/AHA STEMI Guideline e373 survival in a population with a relatively low mortality rate, improved early survival of higher-risk patients, and chang- ing STEMI demographics. These findings support the goal of comprehensive efforts to improve all aspects of acute MI care to improve survival rates. 3.5. Prehospital Fibrinolytic Therapy The time delay from symptom onset to treatment can be short- ened by administration of prehospital fibrinolytic therapy by a trained EMS unit either with a physician on board142 147 or with a hospital-based physician148 152 in direct contact, especially in rural areas. 