Pre-hospital management of acute myocardial infarction.

Abstract:

:Two-hundred and eleven Irish GPs responded to a questionnaire survey of their experience and management of acute myocardial infarction (MI) and their attitudes to the use of thrombolytic therapy Three-quarters of the respondents felt they dealt with three or more MIs per year; most felt that the majority of MIs were initially seen by a GP. Diagnosis is based on clinical findings; only 11% routinely take an ECG. Management is largely oriented to relief of pain but intravenous narcotics are only used by a minority. Hospital referral for suspected acute MI was the preferred choice for almost all GPs in a variety of patient-care scenarios. Home care for MI was chosen only for a minority of elderly patients when some hours had elapsed since the onset of symptoms. Definitive guidelines on the pre-hospital use of thrombolysis are not yet available. However, eighty per cent of respondents in this study feel that thrombolysis is beneficial and many feel that it has value in the pre-hospital situation. Respondents identified educational, organisational and financial problems to be overcome before this could happen.

journal_name

Ir J Med Sci

authors

Murphy AW,Power R,Ungruh K,Bury G

doi

10.1007/BF02942365

keywords:

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

593-6

issue

10

eissn

0021-1265

issn

1863-4362

journal_volume

161

pub_type

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