Aktualizacja stanowiska konsultanta krajowego w dziedzinie medycyny ratunkowej. Leczenie pacjentów z OZW w okresie przedszpitalnym - podsumowanie i komentarz do zaleceń dla zespołów ratownictwa medycznego
Journal Title: Na Ratunek - Year 2018, Vol 1, Issue 3
Abstract
In order to standardise the management of patients with STEMI, after the preliminary diagnosis and a teleconsultation with a cardiologist, unless contra-indicated, DAPT should be initiated (ASA 300 mg, tikagrelor 180 mg). The routine onset of prehospital DAPT (ASA 300 mg, tikagrelor 180 mg) is recommended in patients with a very high risk of NSTE-ACS when the preliminary assessment indicates an urgent need of invasive treatment. The teletransmission and teleconsultation system should be the basis for creating regional networks enabling prompt and effective reperfusion therapy of patients with ACS. When unambiguous data are not available, the analgesic treatment of patients with ACS during their transportation to hospital should be individualised. Caution must be exercised in the case of administering morphine due to its potential interactions with oral antiplatelet drugs.
Authors and Affiliations
prf. dr hab. Jerzy Robert Ładny
Keywords
Related Articles
- EP ID EP315337
- DOI -
- Views 125
- Downloads 0
Tężyczka jako stan zagrożenia życia w zespole ratownictwa medycznego
Hypocalcaemia is a reduction of the concentration of total calcium in the blood serum to less than 2.25 mmol/l and/or ionized calcium to less than 0.95 mmol/l. The most common cause of hypocalcaemia is the malabsorption...
Pielęgniarki/Pielęgniarze systemu vs ratownicy medyczni - cicha wojna czy otwarty konflikt
The Emergency Medical Services is a very important part of healthcare in Poland. People who work in this system have a very high responsibility, they have to deal with particularly strong stressors, in conditions where t...
Rola pielęgniarki w zakresie prowadzenia triage’u w SOR
Nowadays triage is not only a legal obligation, but also an extremely useful tool to improve the functioning of emergency departments. Within triage, every employee has a well-defined task to complete that is extremely i...
Porażenie nerwu twarzowego u położnicy
The article discusses the causes, signs and symptoms, and treatment of facial nerve paralysis. A case of a 30-year-old patient following a caesarean section diagnosed with facial nerve paralysis has been presented.
Wykorzystanie nowych uprawnień ratownika medycznego w opiece nad chorym po spontanicznym powrocie krążenia – opis przypadku
Extending the authorisations of paramedics increases the chance of patient survival after cardiac arrest and the return of spontaneous circulation, allowing to implement the post-resuscitation care. A street case of card...