Pre-hospital treatment of STEMI patients. A scientific statement of the working group acute cardiac care of the European society of cardiology | Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology

Tubaro, M, Danchin, N, Goldstein, P, Filippatos, G, Hasin, Y, Heras, M, Jansky, P, Norekval, TM, Swahn, E, Thygesen, K et al, Vrints, C, Zahger, D, Arntz, HR, Bellou, A, De La Coussaye, JE, De Luca, L, Huber, K, Lambert, Y, Lettino, M, Lindahl, B, McLean, S, Nibbe, L, Peacock, WF, Price, S, Quinn, T, Spaulding, C, Tatu-Chitoiu, G and Van De Werf, F (2012) Pre-hospital treatment of STEMI patients. A scientific statement of the working group acute cardiac care of the European society of cardiology | Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology Revista Espanola de Cardiologia, 65 (1). pp. 60-70.

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Abstract

In ST-elevation myocardial infarction (STEMI) the pre-hospital phase is the most critical, as the administration of the most appropriate treatment in a timely manner is instrumental for mortality reduction. STEMI systems of care based on networks of medical institutions connected by an efficient emergency medical service are pivotal. The first steps are devoted to minimize the patient's delay in seeking care, rapidly dispatch a properly staffed and equipped ambulance to make the diagnosis on scene, deliver initial drug therapy and transport the patient to the most appropriate (not necessarily the closest) cardiac facility. Primary PCI is the treatment of choice, but thrombolysis followed by coronary angiography and possibly PCI is a valid alternative, according to patient's baseline risk, time from symptoms onset and primary PCI-related delay. Paramedics and nurses have an important role in pre-hospital STEMI care and their empowerment is essential to increase the eff ectiveness of the system. Strong cooperation between cardiologists and emergency medicine doctors is mandatory for optimal pre-hospital STEMI care. Scientific societies have an important role in guideline implementation as well as in developing quality indicators and performance measures; health care professionals must overcome existing barriers to optimal care together with political and administrative decision makers.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences
Authors :	Name Email ORCID Tubaro, M Danchin, N Goldstein, P Filippatos, G Hasin, Y Heras, M Jansky, P Norekval, TM Swahn, E Thygesen, K Vrints, C Zahger, D Arntz, HR Bellou, A De La Coussaye, JE De Luca, L Huber, K Lambert, Y Lettino, M Lindahl, B McLean, S Nibbe, L Peacock, WF Price, S Quinn, T Spaulding, C Tatu-Chitoiu, G Van De Werf, F
Date :	2012
DOI :	10.1016/j.rec.2011.10.002
Additional Information :	NOTICE: this is the author’s version of a work that was accepted for publication in Revista Espanola de Cardiologia. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Revista Espanola de Cardiologia, 65(1), January 2012, DOI 10.1016/j.rec.2011.10.002.
Depositing User :	Symplectic Elements
Date Deposited :	25 Feb 2014 17:15
Last Modified :	09 Jun 2014 13:53
URI:	http://epubs.surrey.ac.uk/id/eprint/738741

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