[The outcome of "thoracic pains" in pre-hospital emergency: role of the physician of the SMUR in the triage and conveyance of patients].
Revue medicale de la Suisse romande · 2003-04-01 · Observational study
Abstract
The retrospective analysis of SMUR (Service Mobile Urgences Réanimation) activity in Neuchâtel from 2000 to 2001 shows that 11% of the 1250 prehospital interventions were due to "chest pain". Based upon the NACA gravity scale, a potentially serious cardiac disease was present in more than 75% of the cases. 64% of the patients were admitted to the ICU and 16% were directly transferred to an interventional cardiologic center. 63% of all "chest pain" patients underwent an invasive cardiologic intervention (thrombolysis, PTCA, coronary bypass). Rapid prehospital management including a professional emergency team, such as SMUR, may contribute to a better outcome of these patients exposed to acute and sometimes fatal complications.