Prehospital Identification of Underlying Coronary Artery Disease by Community Paramedics
| Autor: | Paul Hoogeveen, Lina Al-Imari, Chris Spearen, Jinbaek Kim, Laurie J. Morrison, Ian R. Drennan, Walter Tavares, Jane Philpott, Kyle Grant, Martina Heinelt, Steven Lucas |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Canada Chest Pain Emergency Medical Services Allied Health Personnel Coronary Artery Disease Emergency Nursing Severity of Illness Index law.invention Coronary artery disease Electrocardiography Randomized controlled trial law Recurrence Risk Factors Intervention (counseling) Health care Medicine Humans Myocardial infarction Community Health Services Coronary Artery Bypass Intensive care medicine business.industry Primary care physician Electronic medical record Paramedicine Middle Aged medicine.disease Emergency medicine Emergency Medicine Exercise Test Preventive Medicine business people Family Practice people.professional_field Needs Assessment |
| Zdroj: | Prehospital emergency care. 19(4) |
| ISSN: | 1545-0066 |
| Popis: | There is a lack of definitive evidence that preventative, in-home medical care provided by highly trained community paramedics reduces acute health care utilization and improves the overall well-being of patients suffering from chronic diseases. The Expanding Paramedicine in the Community (EPIC) trial is a randomized controlled trial designed to investigate the use of community paramedics in chronic disease management (ClinicalTrials.gov ID: NCT02034045). This case of a patient randomized to the intervention arm of the EPIC study demonstrates how the added layer of frequent patient contact by community paramedics and real-time electronic medical record (EMR) correspondence between the paramedics, physicians and other involved practitioners prevented possible life-threatening complications. The visiting community paramedic deduced the need for an electrocardiogram, which prompted the primary care physician to order a stress test revealing abnormalities and thus a coronary artery bypass graft was performed without emergency procedures, unnecessary financial expenditure or further health degradation such as a myocardial infarction. |
| Databáze: | OpenAIRE |
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