University of Ottawa Heart Institute, Ottawa, Canada.
Prog Cardiovasc Dis. 2010 Nov-Dec;53(3):183-7. doi: 10.1016/j.pcad.2010.08.003.
Time to reperfusion is linked to survival in patients presenting with ST-elevation myocardial infarction (STEMI). Primary percutaneous coronary intervention (PCI) is now considered the dominant strategy when it can be performed quickly. Because the number of cardiac catherization facilities is limited, health care workers have attempted to develop systems to ensure access to primary PCI for all patients with STEMI. The pre-hospital ECG has been shown to be a valuable tool to identify STEMI early and its use in the field has allowed paramedics to alert the medical team of an incoming patient with STEMI. Paramedics have come to play an important role in the early identification of patients with STEMI who make use of the emergency medical services. We review evidence that supports the role of the paramedics in patients presenting with STEMI.
再灌注时间与 ST 段抬高型心肌梗死（STEMI）患者的生存有关。当能够快速进行时，经皮冠状动脉介入治疗（PCI）现在被认为是主要策略。由于心脏导管插入术设施的数量有限，医护人员试图开发系统，以确保所有 STEMI 患者都能获得初级 PCI。院前心电图已被证明是早期识别 STEMI 的有价值工具，其在现场的使用使护理人员能够向医疗团队发出警报，通知即将到来的 STEMI 患者。护理人员在利用紧急医疗服务的 STEMI 患者的早期识别中发挥了重要作用。我们回顾了支持护理人员在 STEMI 患者中的作用的证据。
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