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首页> 外文期刊>International Journal of Environmental Research and Public Health >Pre-Hospital ECG E-Transmission for Patients with Suspected Myocardial Infarction in the Highlands of Scotland
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Pre-Hospital ECG E-Transmission for Patients with Suspected Myocardial Infarction in the Highlands of Scotland

机译：苏格兰高地疑似心肌梗死患者的院前心电图电子传输

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Patients with ST elevation myocardial infarction (STEMI) require prompt treatment, best done by primary percutaneous coronary intervention (PPCI). However, for patients unable to receive PPCI, immediate pre-hospital thrombolysis (PHT) is the best alternative. Evidence indicates that diagnostic and management support for staff increases the use of PHT. This study aimed to describe the patient demographics and management of patients, to determine any potential inter-area differences in referral rates to the ECG e-transmission service and to explore the views and experiences of key staff involved in ECG e-transmission within NHS Highland. Data from 2,025 patient episodes of ECG e-transmission identified a statistically significant geographical variation in ECG e-transmission and PHT delivery. Scottish Ambulance Service (SAS) staff were more likely than GPs to deliver PHT overall, however, GPs were more likely to deliver in remote areas. Interviews with six Cardiac Care Unit (CCU) nurses and six SAS staff highlighted their positive views of ECG e-transmission, citing perceived benefits to patients and interprofessional relationships. Poor access to network signal was noted to be a barrier to engaging in the system. This study has demonstrated that a specialist triage service based on e-transmission of ECGs in patients with suspected STEMI can be implemented in a diverse geographical setting. Work is needed to ensure equity of the service for all patients.
机译：ST抬高型心肌梗死（STEMI）患者需要及时治疗，最好通过一次经皮冠状动脉介入治疗（PPCI）来完成。但是，对于无法接受PPCI的患者，立即进行院前溶栓（PHT）是最好的选择。有证据表明，对工作人员的诊断和管理支持增加了PHT的使用。这项研究旨在描述患者的人口统计和患者管理，确定在心电图电子传输服务的转诊率方面可能存在的区域间差异，并探讨NHS高地内参与心电图电子传输的关键人员的观点和经验。 。来自2025个ECG电子传输患者发作的数据确定了ECG电子传输和PHT传递的统计学显着地理差异。苏格兰救护车服务（SAS）员工比GP更有可能在整体上提供PHT，但是GP更有可能在偏远地区提供。对六名心脏护理部门（CCU）护士和六名SAS工作人员的采访强调了他们对ECG电子传输的积极看法，理由是对患者和专业间关系的好处。据指出，网络信号访问不畅是参与系统的障碍。这项研究表明，在可疑的STEMI患者中，基于ECG电子传输的专业分诊服务可以在多种地理环境中实施。需要进行工作以确保所有患者的服务公平。

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