Dyspnea is a dangerous symptom in the pre-hospital setting
نویسندگان
چکیده
Background Electrocardiogram (ECG) based telemedicine is a cornerstone in pre-hospital triage of patients with suspected ST-elevation myocardial infarction (STEMI). An ECG transmitted from the ambulance is reviewed by a cardiologist on-call in case of ongoing or recent chest pain, resuscitation from cardiac arrest, acute dyspnea of unknown origin and other suspicion of STEMI. We hypothesize that unresolved dyspnea is an independent predictor of mortality in this prehospital setting and that the mortality is higher in patients with acute dyspnea of unknown origin than in patients with chest pain.
منابع مشابه
Clinical guideline for Non- pharmacological pain management of trauma patients in pre hospital setting
Aims and background: Pain management is the core of care in traumatic injuries, which unfortunately is not properly managed in the pre-hospital stages. The use of pharmacological pain management by emergency medical technicians in the Iran is also subject to widespread restrictions and prohibited, so focusing on nonpharmacological pain management techniques can help improve pain management and...
متن کاملSymptom Evaluation in Pediatric Oncology Outpatient Setting; A Cross-Sectional Study
Detection and management of cancer-related symptoms is a key component in children’s quality of life. We evaluate symptoms and their severity in Iranian pediatric oncology outpatients using Therapy-Related Symptom Checklist for Children (TRSC-C). This was a cross-sectional study conducted in two outpatient pediatric oncology settings. We included all patients aged between 5-17 years. The valida...
متن کاملDiagnostic yield and renal complications after computed tomography pulmonary angiograms performed in a community-based academic hospital
BACKGROUND Venous thromboembolism and pulmonary embolism (VTE/PE) remain a diagnostic challenge. The computed tomography pulmonary angiogram (CTPA) has emerged as a popular diagnostic test for PE. However, there is limited data on diagnostic yield and complications in actual clinical settings. Our goal was to determine the diagnostic yield for PE and rate of renal complications following CTPA i...
متن کاملSomatic Symptom Scale -8 in Major Depressive Disorder: A Psychometric Evaluation
Objective: Somatic symptom disorder (SSD) is characterized by somatic symptoms that are very distressing or cause considerable functional disability. SSD is associated with various medical and psychiatric conditions and imposes high costs on the patient's health care system. Therefore, diagnosis and treatment of SSD are crucial. The Somatic Symptom Scale-8 (SSS-8) is a valuable and brief self-r...
متن کاملTraining in Pre-hospital Emergency: Needs and Truths
Introduction: More people in the world have lack access to formal pre-hospital emergency. Pre-hospital system should be simple, efficient, and continuous. In emergencies, Caring interventions and in pre-hospital environment is based on independent judgments, decision-making skills, and prioritizations, which is achieved through the training. This study aimed to discuses about current educationa...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 23 شماره
صفحات -
تاریخ انتشار 2015