Dunn F G, Elms S, Melville D I, Lawrie T D, Murray T S
Br Med J. 1978 Oct 21;2(6145):1143-5. doi: 10.1136/bmj.2.6145.1143.
The prehospital management of acute myocardial infarction by general practitioners and emergency-treatment service physicians was analysed in 53 patients. The correct clinical diagnosis was made or suggested before admission in 47 patients. Only 25 patients received analgesics from the general practitioner, and 32 were still in pain and needed diamorphine on admission to hospital. Only one patient received antiarrythmic treatment. The findings suggest that, despite accurate clinical diagnosis of acute myocardial infarction, deficiencies exist in the prehospital phase of management and that education programmes are worth consideration.
对53例急性心肌梗死患者由全科医生和急救服务医生进行的院前管理进行了分析。47例患者在入院前做出或被建议做出正确的临床诊断。只有25例患者从全科医生处接受了镇痛药治疗，32例患者入院时仍疼痛，需要注射吗啡。只有1例患者接受了抗心律失常治疗。研究结果表明，尽管对急性心肌梗死有准确的临床诊断，但院前管理阶段仍存在不足，教育项目值得考虑。
