지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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 cardiopulmonary 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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참고문헌 (29)
참고문헌 신청
Ahn HJ / 2010 / Prehospital treatments of the patients with hypoglycemia by 119 emergency medical technician / 석사 / Kongju National University
American Heart Association / / 2010 AHA guideline highlights for cardiopulmonary resuscitation and advanced cardiovascular life support
Brieger D / 2004 / Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the global registry of acute coronary event
Canto JG / 2000 / Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain / JAMA 283 (24) : 3223 ~ 3229
Gyeong Gi provincial fire and disaster headquarters / / The present stage
American Heart Association / / 2010 AHA guideline highlights for cardiopulmonary resuscitation and advanced cardiovascular life support
Brieger D / 2004 / Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the global registry of acute coronary event
Canto JG / 2000 / Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain / JAMA 283 (24) : 3223 ~ 3229
Gyeong Gi provincial fire and disaster headquarters / / The present stage
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