Management of patients suspected for non-ST elevation-acute coronary syndrome in the prehospital phase
The management of patients with suspected acute coronary syndrome, especially in prehospital settings, is challenging. This Special Report focuses on studies in emergency medical services concerning chest pain patients’ triage and risk stratification. In addition, it emphasizes advancements in point...
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Veröffentlicht in: | Future cardiology 2023-10, Vol.19 (13), p.639-647 |
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creator | Tolsma, Rudolf T de Koning, Enrico R Fokkert, Marion J van der Waarden, Nancy Wpl van 't Hof, Arnoud Wj Backus, Barbra E |
description | The management of patients with suspected acute coronary syndrome, especially in prehospital settings, is challenging. This Special Report focuses on studies in emergency medical services concerning chest pain patients’ triage and risk stratification. In addition, it emphasizes advancements in point-of-care cardiac troponin testing. These developments are compared with in-hospital guidelines, proposing an initial framework for a new acute care pathway. This pathway integrates a risk stratification tool with high-sensitivity cardiac troponin testing, aiming to deliver optimal care and collaboration within the acute care chain. It has the potential to contribute to a significant reduction in hospital referrals, reduce observation time and overcrowding at emergency departments and hospital admissions. |
doi_str_mv | 10.2217/fca-2023-0049 |
format | Article |
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This Special Report focuses on studies in emergency medical services concerning chest pain patients’ triage and risk stratification. In addition, it emphasizes advancements in point-of-care cardiac troponin testing. These developments are compared with in-hospital guidelines, proposing an initial framework for a new acute care pathway. This pathway integrates a risk stratification tool with high-sensitivity cardiac troponin testing, aiming to deliver optimal care and collaboration within the acute care chain. 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It has the potential to contribute to a significant reduction in hospital referrals, reduce observation time and overcrowding at emergency departments and hospital admissions.</description><subject>acute coronary syndrome</subject><subject>Acute Coronary Syndrome - diagnosis</subject><subject>Acute Coronary Syndrome - therapy</subject><subject>ambulance</subject><subject>chain of care</subject><subject>chest pain</subject><subject>Electrocardiography</subject><subject>Emergency Medical Services</subject><subject>Emergency Service, Hospital</subject><subject>EMS</subject><subject>Humans</subject><subject>point-of-care</subject><subject>prehospital</subject><subject>risk stratification</subject><subject>Triage</subject><subject>Troponin</subject><issn>1479-6678</issn><issn>1744-8298</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLAzEQgIMoVqtHr5I_EM0maR5HKb6g4sF6XtLsxK60myXJCv33Zln1JnOYGfhmmPkQuqroDWOVuvXOEkYZJ5QKc4TOKiUE0czo41ILZYiUSs_QeUqflHJlKnOKZmOWkvIz5F9sZz9gD13GwePe5raUCach9eAyNNiHiLvQkbc1hh18FaA01g0ZsAsxdDYecDp0TQx7wG2H8xZwH2EbUt9mu8P91ia4QCfe7hJc_uQ5en-4Xy-fyOr18Xl5tyKOc52J1MpuGkOtpoJ6SZ2W5SvFQDEBY0jjK12pBeeKLRq_4ZJRwRRT3grOPJ8jMu11MaQUwdd9bPflxLqi9eirLr7q0Vc9-ir89cT3w2YPzR_9K6gAZgL8kIcIyRU9DuqpKxOtazv4Z_k3C_t6cg</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Tolsma, Rudolf T</creator><creator>de Koning, Enrico R</creator><creator>Fokkert, Marion J</creator><creator>van der Waarden, Nancy Wpl</creator><creator>van 't Hof, Arnoud Wj</creator><creator>Backus, Barbra E</creator><general>Future Medicine Ltd</general><scope>FUMOA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-7042-1167</orcidid><orcidid>https://orcid.org/0000-0002-2344-7564</orcidid><orcidid>https://orcid.org/0000-0001-8489-570X</orcidid><orcidid>https://orcid.org/0000-0002-4687-1157</orcidid><orcidid>https://orcid.org/0000-0002-9343-0717</orcidid><orcidid>https://orcid.org/0000-0001-5255-8645</orcidid></search><sort><creationdate>20231001</creationdate><title>Management of patients suspected for non-ST elevation-acute coronary syndrome in the prehospital phase</title><author>Tolsma, Rudolf T ; de Koning, Enrico R ; Fokkert, Marion J ; van der Waarden, Nancy Wpl ; van 't Hof, Arnoud Wj ; Backus, Barbra E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-687abd90a8040f60c8604972e724e4e4e69f1817533725dfb362042727fa432f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>acute coronary syndrome</topic><topic>Acute Coronary Syndrome - diagnosis</topic><topic>Acute Coronary Syndrome - therapy</topic><topic>ambulance</topic><topic>chain of care</topic><topic>chest pain</topic><topic>Electrocardiography</topic><topic>Emergency Medical Services</topic><topic>Emergency Service, Hospital</topic><topic>EMS</topic><topic>Humans</topic><topic>point-of-care</topic><topic>prehospital</topic><topic>risk stratification</topic><topic>Triage</topic><topic>Troponin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tolsma, Rudolf T</creatorcontrib><creatorcontrib>de Koning, Enrico R</creatorcontrib><creatorcontrib>Fokkert, Marion J</creatorcontrib><creatorcontrib>van der Waarden, Nancy Wpl</creatorcontrib><creatorcontrib>van 't Hof, Arnoud Wj</creatorcontrib><creatorcontrib>Backus, Barbra E</creatorcontrib><collection>Future Medicine (Open Access)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Future cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tolsma, Rudolf T</au><au>de Koning, Enrico R</au><au>Fokkert, Marion J</au><au>van der Waarden, Nancy Wpl</au><au>van 't Hof, Arnoud Wj</au><au>Backus, Barbra E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of patients suspected for non-ST elevation-acute coronary syndrome in the prehospital phase</atitle><jtitle>Future cardiology</jtitle><addtitle>Future Cardiol</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>19</volume><issue>13</issue><spage>639</spage><epage>647</epage><pages>639-647</pages><issn>1479-6678</issn><eissn>1744-8298</eissn><abstract>The management of patients with suspected acute coronary syndrome, especially in prehospital settings, is challenging. 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language | eng |
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source | MEDLINE; PubMed Central |
subjects | acute coronary syndrome Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - therapy ambulance chain of care chest pain Electrocardiography Emergency Medical Services Emergency Service, Hospital EMS Humans point-of-care prehospital risk stratification Triage Troponin |
title | Management of patients suspected for non-ST elevation-acute coronary syndrome in the prehospital phase |
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