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Reasons prehospital personnel do not administer aspirin to all patients complaining of chest pain.

Abstract：

INTRODUCTION:Aspirin is administered to patients with acute coronary syndromes (ACSs), but prehospital providers do not administer aspirin to all patients with chest pain that could be secondary to an ACS. OBJECTIVE:To identify reasons prehospital providers fail to administer aspirin to all patients complaining of chest pain. METHODS:A convenience sample of prehospital providers was surveyed as they transported patients with a chief complaint of chest pain to the emergency department. The providers were asked if they had given aspirin, nitroglycerin, or oxygen, or if they utilized a monitor. If the medications had not been administered, the paramedic was asked about the reason. The patient's age and previous cardiac history also was recorded. RESULTS:A total of 52 patients with chest pain who were transported were identified over eight weeks, and all of the providers agreed to participate in the study. Only 13 of the patients (25%) received aspirin. Reasons given for not administering aspirin to the other 39 patients included: (1) chest pain was not felt to be cardiac in 13 patients (33%); (2) 10 patients already had taken aspirin that day (26%); (3) the medical provider was a basic-level emergency medical technician (EMT)-Basic and could not administer aspirin to six patients (15%); (4) pain subsided prior to arrival of emergency medical services (EMS) in these three patients; and (5) other reasons were provided for the remaining seven patients. CONCLUSIONS:The most common reason that paramedics did not administer aspirin was the paramedic's belief that the chest pain was not of a cardiac nature. Another common reason for not giving aspirin was the inability of EMT-Basic providers to administer aspirin.

journal_name

Prehosp Disaster Med

journal_title

Prehospital and disaster medicine

authors

Hooker EA,Benoit T,Price TG

doi

10.1017/s1049023x00003435

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

101-3

issue

2

eissn

1049-023X

issn

1945-1938

journal_volume

21

pub_type

杂志文章

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