Lower mortality with pre-hospital electrocardiogram triage by telemedicine support in high risk acute myocardial infarction treated with primary angioplasty: Preliminary data from the Bari–BAT public Emergency Medical Service 118 registry

2015 ◽  
Vol 185 ◽  
pp. 224-228 ◽  
Author(s):  
Natale Daniele Brunetti ◽  
Lucia Bisceglia ◽  
Giulia Dellegrottaglie ◽  
Angela Ivana Bruno ◽  
Gaetano Di Pietro ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
High Risk ◽  
Emergency Medical Service ◽  
Preliminary Data ◽  
Medical Service ◽  
Primary Angioplasty ◽  
Lower Mortality ◽  
Emergency Medical ◽  
Public Emergency

Inappropriate dispatcher decision for emergency medical service users with acute myocardial infarction

2011 ◽  
Vol 29 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Magali Fourny ◽  
Anne-Sophie Lucas ◽  
Loïc Belle ◽  
Guillaume Debaty ◽  
Pierre Casez ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Users ◽  
Emergency Medical

scholarly journals Analysis of prehospital care of patients with acute myocardial infarction in Bulgaria

2018 ◽  
Vol 25 (4) ◽  
pp. 196-201
Author(s):  
Maria Hristova Milanova ◽  
Stefan Naydenov Naydenov ◽  
Nikolay Margaritov Runev ◽  
Emil Ivanov Manov ◽  
Plamen Krasimirov Krastev
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Admission ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Primary Care Providers ◽  
Emergency Call ◽  
Prehospital Delay ◽  
Emergency Medical ◽  
National Emergency

Introduction: Acute myocardial infarction is one of the most devastating cardiovascular diseases and about 50% of all deaths due to it occur prior to hospitalization. Our study aimed to evaluate the prehospital delay in patients with acute myocardial infarction. Methods: We enrolled 682 consecutive patients with acute myocardial infarction from May 2008 to December 2014, with a mean age of 66.6 ± 12.9 years. Detailed information was collected about the symptoms, first medical contact, concomitant clinical conditions, and the socioeconomic data. We analyzed the following prehospital times: (1) onset of symptoms to emergency call, (2) onset of symptoms to first medical contact, (3) first medical contact to hospital admission, and (4) onset of symptoms to hospital admission. Results: The first medical contact was with the National Emergency Medical Service in 266 (39.0%) patients, another emergency unit 106 (15.6%), cardiologist 41 (6%), general practitioner 36 (5.3%), and others 233 (34.1%). The median time from the onset of symptoms till emergency call was 190 min, from the first contact with a team of the National Emergency Medical Service till hospital admission 60 min, and from the onset of symptoms till hospital admission 4.8 h. Conclusion: The total prehospital delay in our study was unacceptably prolonged, with patient’s decision time as the major contributor. The delay could be substantially shortened by (1) increased awareness of the general population, particularly of individuals at high cardiovascular risk and (2) continuous medical education and regular practical training of the primary care providers about coping with medical emergencies.

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