Reduction of mortality from prehospital myocardial infarction by prudent patient activation of mobile coronary care system
| Autor: | Martin D. Keller, John M. Stang, Richard R. Lanese, Richard P. Lewis, Thomas N. Chirikos, James V. Warren |
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| Rok vydání: | 1982 |
| Předmět: |
Male
Patient Activation Emergency Medical Services medicine.medical_specialty Ambulances Myocardial Infarction Coronary Disease Sudden death Coronary artery disease medicine Emergency medical services Humans Prospective Studies Myocardial infarction Intensive care medicine Aged Ohio business.industry Coronary Care Units Electrocardiography in myocardial infarction Middle Aged medicine.disease Advanced life support Outcome and Process Assessment Health Care Cohort Female Emergency Service Hospital Cardiology and Cardiovascular Medicine business |
| Zdroj: | American Heart Journal. 103:123-130 |
| ISSN: | 0002-8703 |
| Popis: | Numerous recent studies have documented the fact that lives are saved by prehospital mobile coronary care units (MCCU).lm6 As a result, such units, of various designs and types, have proliferated in the United States and in Europe.7v8 In spite of this development in emergency medical services (EMS), there is still some uncertainty regarding its impact on death from acute myocardial infarction (AMI) and sudden death in patients with coronary artery disease (CAD). Furthermore, arguments have been raised that MCCU often serve patients at low risk of death, who could well be treated by other means? This presentation is concerned with our S-year experience with a mobile coronary care system in Columbus, Ohio. A single advanced life support (ALS) vehicle manned by a physician and paramedics (Heartmobile) was added to a long-standing and well-utilized EMS system in April, 1969. Over the next 8 years the ALS system as well as the entire EMS system grew dramatically.‘O With respect to cardiac emergencies, it had been our impression that persons served by the ALS units were predominantly those with high risk of death. This was clearly true of an original cohort of 214 consecutive cases analyzed in 1970 when the Heartmobile was in use. However, we had no data concerning those patients with AM1 not seen by the EMS system. As a result, factors influencing patient decisions to use the |
| Databáze: | OpenAIRE |
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