Ambulancetransport og praehospital behandling ved indlaeggelse for formodet akut myokardieinfarkt
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Ambulancetransport og praehospital behandling ved indlaeggelse for formodet akut myokardieinfarkt. / Rasmussen, Claus-Henrik; Munck, Anders P; Haghfelt, Torben H; Kragstrup, Jakob.
In: Ugeskrift for Laeger, Vol. 164, No. 11, 11.03.2002, p. 1493-6.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Ambulancetransport og praehospital behandling ved indlaeggelse for formodet akut myokardieinfarkt
AU - Rasmussen, Claus-Henrik
AU - Munck, Anders P
AU - Haghfelt, Torben H
AU - Kragstrup, Jakob
PY - 2002/3/11
Y1 - 2002/3/11
N2 - INTRODUCTION: The aim was to describe ambulance transportation and pre-hospital treatment in connection with admission for suspected acute myocardial infarction.MATERIAL AND METHODS: For all patients with suspected acute coronary syndrome who were urgently admitted to the Cardiological Department, Odense University Hospital between 3 August 1998 and 6 December 1998, information about ambulance transportation and pre-hospital treatment was collected through interviews with the patients and study of ambulance records, admission notes, and hospital medical records. In addition, details of the regarding response times were obtained from Falck's emergency service and from nurses' papers.RESULTS: Altogether 279 patients (83%) were transported by ambulance. Half the ambulances arrived at the hospital after 34 minutes (range 11-140 minutes), but every third ambulance took more than 40 minutes to reach the hospital. The pre-hospital treatment of all the patients was: oxygen 69%, nitroglycerin sublingually 46%, nitrous oxide 2%, defibrillation 1.4%, acetylsalicylic acid 9%, morphine injection 8%, and ECG monitoring 57%.CONCLUSION: The study showed that there were quality problems, as every third ambulance took more than 40 minutes to reach the hospital. It also showed that acetylsalicylic acid and morphine were used only to a limited extent in a pre-hospital situation.
AB - INTRODUCTION: The aim was to describe ambulance transportation and pre-hospital treatment in connection with admission for suspected acute myocardial infarction.MATERIAL AND METHODS: For all patients with suspected acute coronary syndrome who were urgently admitted to the Cardiological Department, Odense University Hospital between 3 August 1998 and 6 December 1998, information about ambulance transportation and pre-hospital treatment was collected through interviews with the patients and study of ambulance records, admission notes, and hospital medical records. In addition, details of the regarding response times were obtained from Falck's emergency service and from nurses' papers.RESULTS: Altogether 279 patients (83%) were transported by ambulance. Half the ambulances arrived at the hospital after 34 minutes (range 11-140 minutes), but every third ambulance took more than 40 minutes to reach the hospital. The pre-hospital treatment of all the patients was: oxygen 69%, nitroglycerin sublingually 46%, nitrous oxide 2%, defibrillation 1.4%, acetylsalicylic acid 9%, morphine injection 8%, and ECG monitoring 57%.CONCLUSION: The study showed that there were quality problems, as every third ambulance took more than 40 minutes to reach the hospital. It also showed that acetylsalicylic acid and morphine were used only to a limited extent in a pre-hospital situation.
KW - Ambulances/standards
KW - Denmark
KW - Emergency Medical Services/standards
KW - Hospitals, University
KW - Humans
KW - Myocardial Infarction/diagnosis
KW - Patient Admission
KW - Practice Patterns, Physicians'
KW - Quality of Health Care
KW - Time and Motion Studies
M3 - Tidsskriftartikel
C2 - 11924473
VL - 164
SP - 1493
EP - 1496
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 11
ER -
ID: 324190156