Predictive factors for myocardial infarction in pre-hospital emergency care

Abstract

Background: Identifying predictive factors based on procedures carried out by emergency medical teams may speed up the diagnosis of AMI. By shortening the time between the onset of the pain and the initiation of coronary reperfusion, patient prognosis can be improved Methods: The study was conducted on residents of the Bielsko-Biała district, served by state ambulance service Medical Response Teams (MRT). The patients were assigned to the following groups: Group A (n = 338) - patients with chest pain in whom infarction with elevation of the ST segment (ST-ACS) was diagnosed on the basis of an ECG, Group B (n=300) - patients with chest pain in whom an infarction was not diagnosed. A factor structural test for the studied parameters was used to determine their significance. An odds ratio (OR) was established for statistically significant parameters, and multi-dimensional logistic regression analysis was conducted. The significance of the odds ratios (OR) was estimated for individual risk factors based on 95% confidence intervals (CI). Results: It can be stated with 95% probability that the significant parameters: Male (p=0.00001), Age 51-70(p=0.00307), Breathing rate less than 12/min(p=0.02711), Pulse below 60 min (p=0.00165), Edemas (p=0.00075), Moist skin(p<0.01), Sinus rhythm (p=0.00004), Additional ventricular beats(p=0.00133) increase the risk of myocardial infraction. Conclusion: Identifying the predictors of myocardial infarction specific to pre-hospital emergency care is essential for improving the detection of AMI and shortening the time between calls to the MRT and the initiation of coronary reperfusion.

The Relation between Clinical Competency and Perceived Psychiatric Nurses Job Stress

“…Furthermore, Ilczak, et al,(2021) (31) conducted a study to evaluate the predictors of stress that paramedics, nurses These results were in agreement with a study conducted to examine occupational stress for two hundred and forty four psychiatric nurses in China. The study showed high stress level in male nurses than females that was due to physical violence and verbal assault from patients to male nurses (34) .…”

Repercussões da COVID-19 nos profissionais da saúde do serviço de atendimento pré-hospitalar móvel: revisão integrativa

“…[20][21][22][23][24] Dentre os aspectos mentais, o estresse se revelou como a repercussão mais frequente nos estudos selecionados. [14][15][16]19 Nesse aspecto, os níveis mais elevados desse estado emocional foram encontrados na população do sexo feminino [14][15][16] , em enfermeiros [15][16] e paramédicos. 14 Os principais preditores apontados nas pesquisas para elevação do nível de estresse durante a pandemia da COVID-19 foram o medo de contrair a doença, a diminuição do nível de segurança durante a realização de procedimentos 15 , o aumento da carga horária e a redução da capacidade de adaptação.…”

“…[14][15][16]19 Nesse aspecto, os níveis mais elevados desse estado emocional foram encontrados na população do sexo feminino [14][15][16] , em enfermeiros [15][16] e paramédicos. 14 Os principais preditores apontados nas pesquisas para elevação do nível de estresse durante a pandemia da COVID-19 foram o medo de contrair a doença, a diminuição do nível de segurança durante a realização de procedimentos 15 , o aumento da carga horária e a redução da capacidade de adaptação. 16 Os níveis elevados dessa reação ocasionaram o sentimento de fadiga emocional e insegurança no local de trabalho 15 e poderiam levar à diminuição na qualidade assistencial dos serviços de saúde.…”

Design a Monitoring Device for Heart-Attack Early Detection Based on Respiration Rate and Body Temperature Parameters

“…Based on the research of A. Putot, the onset of symptoms of a heart attack along with acute infection is characterized by symptoms of tachycardia (>100 beats/min), tachypnea (>24 breaths/min), and symptoms of fever (>39ᵒC) [9]. According to research by T. Ilczak, the parameters considered significant as predictors of a heart attack include respiratory rate less than 12/minute and heart rate less than 60/minute [10].…”