GUIDELINES FOR THE PREHOSPITAL USE OF THROMBOLYTIC AGENTS

被引：8

作者：

BENSON, NH

MANINGAS, PA

KROHMER, JR

BALCOMBE, DJ

SWOR, R

机构：

来源：

ANNALS OF EMERGENCY MEDICINE | 1994年 / 23卷 / 05期

关键词：

D O I：

10.1016/S0196-0644(94)70102-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Recognizing that prehospital thrombolytic therapy may provide benefit to certain subsets of patients, the routine prehospital use of thrombolytic agents should be discouraged pending further scientific delineation and documentation of those subgroups. ACEP encourages further investigation to document feasibility, efficacy, cost-effectiveness, and safety of use of these agents in this environment. Detailed education is needed in such areas as contraindications and the mechanics of drug administration. Online medical direction is paramount to the successful use of these agents in the prehospital setting. © 1994 American College of Emergency Physicians. All rights reserved.

引用

页码：1047 / 1048

页数：2

共 7 条

[1]

Weaver, Et al., Myocardial Infarction Triage and Intervention Project- Phase I: Patient characteristics and feasibility of prehospital initiation of thrombolytic therapy, JACC, 15, pp. 925-931, (1990)

[2]

Prehospital thrombolysis in acute myocardial infarction: The Belgian Eminase Prehospital Study (BEPS), European Heart J, 12, pp. 965-967, (1991)

[3]

Roth, Et al., Should thrombolytic therapy be administered in the mobile intensive case unit in patients with evolving myocardial infarction? A pilot study, JACC, 15, pp. 932-936, (1990)

[4]

Barbash, Et al., Improved survival but not left ventricular function with early and prehospital treatment with tissue plasminogen activator in acute myocardial infarction, Am J Cardiol, 66, pp. 261-266, (1990)

[5]

Gibler, Et al., Prehospital diagnosis and treatment of acute myocardial infarction: A north-South perspective, Am Heart J, 121, pp. 1-11, (1991)

[6]

Kereiakes, Et al., Time delays in the diagnosis and treatment of acute myocardial infarction: A tale of eight cities, Am Heart J, 120, pp. 773-780, (1990)

[7]

ACC/AHA Task Force Report, Guidelines for the early management of patients with acute myocardial infarction, Journal of the American College of Cardiology, 16, pp. 249-292, (1990)

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