Prehospital treatment of the acute coronary syndrome in the emergency medical services in Bavaria

Deutsche medizinische Wochenschrift
P Sefrin, B Lafontaine

Abstract

Regarding patients suffering from cardiovascular diseases, the most common reason for call-outs of German emergency physicians is in 37.2 % of cases, the acute coronary syndrome (ACS). Despite substantial improvements in diagnosis and therapy a reduction of mortality rate has not been documented. 200,221 protocols of emergency physicians were analyzed regarding the prehospital treatment of ACS by German emergency physicians. It was a retrospective analysis from available protocols of the emergency medical services in Bavaria. Within 15 minutes after the emergency call the physician reached 92.2 % of the patients. The time to treatment averaged 23.2 (+/- 3.3) minutes. In 37.5 % of the call-outs there was only a slight danger, while in 35.6 % an acute life-threatening event was the reason for hospitalization. Hypertension existed in 52 % of the patients. 25.5 % had a tachycardia, with ECG-changes increased with age and severity of the syndrome. In 93.9 % an emergency-ECG was recorded but only in 8.5 % a 12-channel-ECG. Most frequently (39.1 %) analgetics were administered. Vasodilatators followed in 29.1 %, sedatives in 19.5 %. Antiemetics (18.1 %) were associated with the use of opioids. Typical cardiovascular drugs, such as cat...Continue Reading

Citations

May 10, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Helmut TrimmelLukas Fiedler

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