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
Hauptverfasser: Tolsma, Rudolf T, de Koning, Enrico R, Fokkert, Marion J, van der Waarden, Nancy Wpl, van 't Hof, Arnoud Wj, Backus, Barbra E
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container_end_page 647
container_issue 13
container_start_page 639
container_title Future cardiology
container_volume 19
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
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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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