Author/Editor		Žmavc, A
Title		Motnje srčnega ritma in nujna medicinska pomoč pred prihodom v bolnišnico. Pregled kazuistike v službi nujne medicinske pomoči v Celju v letih 91 do 95
Translated title		Cardiac arrhythmias and emergency treatment before arrival to hospital. A five year case review in a prehospital EMS system in Celje, Slovenia
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 2. Zbornik 3. mednarodni simpozij o urgentni medicini; 1996 jun 26-29; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1996
Volume		str. 203-9
Language		slo
Abstract		Patients with an acute cardiac rhythm disturbance (RD) represent a great deal of emergencies particularly if all cardiac arrest cases are taken into account. In the article all cases of non arrest RD in a five year period are reviewed. We must distinguish between an emergency care offered by a local physician from an emergency care offered by an emergency medical team (EMT). A local physician, faced with an insolvable problem of determining the right diagnose due to a lack of proper equipment (e.g., ECG monitor) often starts to treat the symptoms instead of the RD, which is an improper solution in most cases. For prehospital management it is practical to classify a RD into one of the following groups: l. RD with stable circulation 2. RD with unstable circulation 3. Potentially dangerous or malignant RD with stable circulation. Patients in group 1, except of monitoring during the transport, need no other emergency treatment. Patients in group 2 need prompt and specific treatment which can be provided only by a well equipped and skilled EMS system. Patients in group 3 very likely need specific treatment. Because of the possibility of reverting into the group 2 they ought to be managed within an EMS system. The prehospital EMS in Celje performed 8440 interventions in a five year period, from 91 to 95. 2221 (26.3%) patients had been monitorised on an ECG monitor during the transport and for 1500 (17.8%) of them ECG strips were available in our medical records. 800/1500 (53%) patients were normocardic, 598/1500 (40%) were tachycardic, and 102/1500 (7%) were bradycardic. At 155 (10.3%) of patients the RD was the leading problem. All cardiac arrests before or at the time of arrival to the scene were excluded. A local physician called for an EMT at 43/155 (28%) of cases. (Abstract truncated at 2000 characters.)
Descriptors		ARRHYTHMIA EMERGENCY MEDICAL SERVICES