Using the Atellica VTLi in the EMS setting for the analysis of troponin I in acute chest pain patients is feasible. However, the instruments are unfamiliar for most EMS personnel, and a break-in period should be allowed for when introducing this kind of equipment in the EMS setting.

The need to keep the Atellica VTLi cartridges cooled is difficult to handle in the EMS setting.

Prolonged room temperature storage ability of Atellica VTLi cartridges would substantially improve EMS feasibility and reduce costs.

EMS personnel not recruiting eligible patients for study inclusion due to lack of compliance may prolong data collection.

Motivating personnel to include patients is a cornerstone for study success.

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