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KMID : 0895520130170010021
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Journal of the Korean Society of Emergency Medical Technology
2013 Volume.17 No. 1 p.21 ~ p.39
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Analysis on emergency care to the patients with acute myocardial infarction in pre-hospital and in-hospital phase
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Lee Han-Na
Cho Keun-Ja
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Abstract
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Purpose : The purpose of this study is to provide the basic data to improve pre-hospital phase emergency care for acute myocardial infarction (AMI) patients by analyzing AMI patients’ clinical characteristics and emergency care situations. Methods : Data were collected through medical records of 385 AMI patients including ambulance records of 107 AMI patients transferred to the emergency medical center for three and a half years. Results : Regarding emergency care for AMI patients in pre-hospital phase, 47% of the care revealed moderate level or higher, and appropriateness of pre-hospital phase emergency care for cardiopulmo?nary complaints practiced by paramedics showed statistically significant improvement in recent years (p< .001). The time from onset of symptom to ballooning intervention by 119 emergency services was shorter than that in other cases. However, emergency care by paramedic was mainly basic life support. Conclusion : Since prognosis of AMI shows vast differences depending on prompt detection and medical intervention, cooperation between pre-hospital and in-hospital phase is highly required. 119 paramedics should be trained focusing on the accurate assessment and emergency care, and medical direction should be activated. In addition, regulation on 12-lead EKG, cardiac enzyme analysis, use of analgesics and thrombolytic agents should be legally implemented.
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KEYWORD
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Acute myocardial infarction, Emergency care, Pre-hospital phase, In-hospital phase
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