Emergency medical services management of ST-elevation myocardial infarction.
نویسندگان
چکیده
According todatapublishedby theAmericanHeartAssociation (AHA), the annual incidence of acutemyocardial infarction (AMI) in the United States approximates 850,000, resulting in over 150,000 deaths per year.1 The emergency medical services (EMS) system plays a significant role in the management of AMI with respect to caring for those who access the health care system via EMS and also in administering public educational programs to encourage early access via EMS. It is generally well accepted that early reperfusion is the primary goal of therapy for patients having an acute ST-segment-elevation myocardial infarction (STEMI).2,3 Because many patients access the health care system via EMS, EMS providers are well positioned to facilitate achieving the goal of early reperfusion throughout the community.4 Consequently, the NationalAssociationofEMSPhysicians (NAEMSP)has developed a position statement on the role of EMS in the management of the STEMI patient and the development of cardiovascular systems of care.5 The NAEMSP believes that advanced life support EMS providers should have the education, appropriate training, equipment, and protocols to facilitate early identification and the initial care of patients with STEMI. Theseprotocols should address the appropriate use of 12-lead electrocardiograms (ECGs) to facilitate early diagnosis of STEMI and initiation of pathways to ensure early definitive reperfusion. EMS systems
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ورودعنوان ژورنال:
- Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
دوره 12 3 شماره
صفحات -
تاریخ انتشار 2008