Research Article
Volume 5 Issue 9 - 2021
Pre-Hospital Acute Chest Pain Interventions: Factors Influencing Departure Time Limit
Mejri F, Chermiti I*, Ghazali H, Keskes S, Mejdoub Y, Daoud R and Souissi S
Emergency Department, Regional Hospital of Ben Arous, Medicine School of Tunis, Tunis El Manar University, Tunisia
*Corresponding Author: Chermiti I, Emergency Department, Regional Hospital of Ben Arous, Medicine School of Tunis, Tunis El Manar University, Tunisia.
Received: July 17, 2021; Published: August 28, 2021




Abstract

Background: Primary interventions of Emergency and Resuscitation Mobile Services (ERMS) for acute chest pain (ACP) may represent both diagnostic and therapeutic challenges for the healthcare team members. Reducing different treatment times is essential in order to improve prognosis specially when ACP is related to cardiovascular emergencies.

Aim of the Study: The aim of our study was to identify factors influencing departure time limit when managing patients with ACP in pre-hospital settings.          

Methods: We conducted a retrospective descriptive study at Ben Arous ERMS over a one-year period. We included pre-hospital primary interventions involving patients with ACP. Demographic and clinical data, time frames and performed procedures were collected. We have considered one judgment criteria: departure time limit. Both univariate and multivariate analysis were performed in order to identify departure time limit delay-influencing-factors.

Results: We included 86 interventions performed on 41 patients (48%) whose age was over 60 years. Male were predominant (73%). Sixty patients (70%) had cardiovascular risk factors. The median departure time limit was 10 minutes [5-15]. Multivariate analysis has found two factors influencing independently time to departure (adjusted Odds ration; p value): home intervention (1.8; 0.022) and the presence of a junior intervention physician (2; 0.007).

Conclusion: Factors influencing ERMS departure time limit when managing patients with ACP are logistical. Medical training and skills maintenance are crucial to improve the performance of multi-skilled ERMS teams.

Keywords: Emergency and Resuscitation Mobile Services (ERMS); Acute Chest Pain (ACP)

References

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Citation: Chermiti I., et al. ““Pre-Hospital Acute Chest Pain Interventions: Factors Influencing Departure Time Limit”. EC Emergency Medicine and Critical Care 5.9 (2021): 32-38.

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