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Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology

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 and Van De Werf, F (2011) Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology Acute Cardiac Care, 13 (2). pp. 56-67.

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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 effectiveness 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 :
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 : 2011
DOI : 10.3109/17482941.2011.581292
Additional Information : This is an electronic version of an article published in Acute Cardiac Care, 13 (2) June 2011 DOI: 10.3109/17482941.2011.581292. Acute Cardiac Care is available online at:
Depositing User : Symplectic Elements
Date Deposited : 25 Feb 2014 17:03
Last Modified : 09 Jun 2014 13:56

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