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首页> 外文期刊>Prehospital emergency care >Prehospital consideration of sildenafil-nitrate interactions.
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Prehospital consideration of sildenafil-nitrate interactions.

机译:院前考虑西地那非-硝酸盐相互作用。

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OBJECTIVE: To determine whether paramedics and on-line physicians screen patients for use of sildenafil citrate (Viagra) prior to prehospital administration of nitrates. METHODS: A prospective, observational study was performed over a one-month period in three EMS systems. Consecutive radio communications between on-line physicians and paramedics concerning male patients with cardiac complaints were monitored. Investigators observed the frequency with which on-line physicians screened for sildenafil use prior to ordering nitrates. After observation of the radio communications was completed, a written survey was distributed to all paramedics in the three EMS systems. RESULTS: Seventy-six physician-paramedic interactions were monitored. Nitrates were ordered by on-line physicians in 56 cases. No paramedic reported sildenafil useonuse, and no on-line physician inquired about the patient's potential use of the drug. Only half of the surveyed paramedics reported that they routinely screen for sildenafil use, and approximately a fourth reported that its use would not alter their management of chest pain patients. CONCLUSION: In this study, on-line physicians in three EMS settings did not screen for sildenafil use prior to ordering nitrates. While some paramedics do screen for sildenafil use, practice patterns among paramedics in these three systems were inconsistent.
机译:目的:确定在院前服用硝酸盐之前,医护人员和在线医生是否对患者使用柠檬酸西地那非(Viagra)进行筛查。方法:在三个EMS系统中进行了为期一个月的前瞻性观察性研究。监测在线医生与医护人员之间有关男性心脏病患者的连续无线电通信。研究人员观察了在订购硝酸盐之前,在线医生对西地那非使用进行筛查的频率。在完成对无线电通信的观察之后,向三个EMS系统中的所有护理人员分发了书面调查。结果:共监测了76名医护人员之间的互动。在线医生命令硝酸盐治疗56例。没有护理人员报告使用西地那非/不使用西地那非,也没有在线医生询问患者可能使用该药物的情况。接受调查的护理人员中只有一半报告说他们定期筛查西地那非的使用情况,大约四分之一报告说使用西地那非不会改变他们对胸痛患者的治疗。结论:在这项研究中,在三种EMS环境中的在线医生在订购硝酸盐之前并未筛选西地那非的使用。尽管某些护理人员确实对西地那非的使用进行了筛查,但在这三个系统中,护理人员之间的执业模式并不一致。

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