THE EXPIRIENCE OF TROMBOLITIC THERAPY ON PRE-HOSPITAL STAGE
Abstract
The paper is devoted to the review of pre-hospital trombolitic therapy system in Vladivostok city. The basic elements of introduction are "...analysis — training — standards — equipment — monitoring system — motivation — execution — analysis...". The concrete actions on each element of system, ways and variants of achievement of the purpose are described. The important links are early trombolisis with ambulance team and collaboration with special cardiologic unit of city hospital No. 1. The example of successful introduction can be served with decrease of mortality rate of the patients with STEMI in Vladivostok from 21.7% (2001-2005) up to 15.0% (2006). The necessary conditions for a successful beginning and developing of activity also are determined.
About the Authors
V. N. BalashovaRussian Federation
S. V. Lebedev
Russian Federation
O. G. Pomogalova
Russian Federation
E. V. Pshennikova
Russian Federation
V. V. Kouznetsov
Russian Federation
References
1. Груздев А.К., Сидоренко Б.А., Максимов В.Р., Яновская З.И. Проведение системной тромболитической терапии у больных острым крупноочаговым инфарктом миокарда на догоспитальном этапе. — М.: Главное медицинское управление; Управление делами Президента Российской Федерации, 2005.
2. Руксин В.В. Неотложная кардиология. — СПб.: Невский диалект, 2000.
3. Сыркин А.Л. Инфаркт миокарда. — М.: Медицинское информационное агентство, 1998.
4. Шульман В.А., Радионов В.В., Головенкин С.Е. и др. // Кардиология. - 2004. -№ 5. - С. 40-42.
5. Шуматов В.Б., Кузнецов В.В., Лебедев С.В. // Тихоокеанский мед. журнал. — 2006. — № 1. — С. 81—84.
6. Boersma E., Simoons M.L. // Eur. Heart. J. — 1997. — Vol. 18. - P. 1703-1711.
7. Emergency cardiac care committee, AHA. — Dallas: Heartsaver ABC, 1999.
8. European Resuscitation Council Guidelines for Resuscitation 2005 / ed. by Nolan J., Basskett P. // Resuscitation. — Vol. 67, Supplement 1.
9. Guidelines CPR and ECC 2005. - Dallas: AHA, 2005.
10. International Guidelines 2000 for CPR and ECC (A Consensus on Science). — AHA, 2000.
11. The TIMI Research Group //N. Engl. J. Med. - 1985. - Vol. 312. - P. 932-936.
Review
For citations:
Balashova V.N., Lebedev S.V., Pomogalova O.G., Pshennikova E.V., Kouznetsov V.V. THE EXPIRIENCE OF TROMBOLITIC THERAPY ON PRE-HOSPITAL STAGE. Pacific Medical Journal. 2007;(1):15-19. (In Russ.)