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Table 3 The seminar “Prehospital care for patients experiencing ACS”

From: Possible effects of a course in cardiovascular nursing on prehospital care of patients experiencing suspected acute coronary syndrome: a cluster randomised controlled trial

Purpose

Assignment

Assessment/Grade

Literature

 

At least one medical science and one caring science article should be used from the literature list. Free choice of other articles.

  

To obtain improved knowledge of the assessment, treatment and relief of pain/discomfort and anxiety in patients calling the ambulance services for “chest pain/heart attack”.

Select an ambulance assignment that you have experienced involving the issues “chest pain/heart attack” and enter the scientific references to given care and treatment, i.e. explain the scientific support available today.

- Describe the entire ambulance assignment – assessment, care and treatment – from the reception of information from the dispatch centre to the handover process. Note the patient’s estimated pain intensity (pain score).

- What are the opportunities for and obstacles to relieving the patient’s experience in the prehospital care setting?

- Discuss the caring and medical treatment (including pain and anxiety) in relation to the articles selected. What does the literature tell you? What do you not have scientific support for? What are the proven experiences?

- Include gender and age differences in the analysis.

In order to gain the grade Approved, the student is required to have participated actively in the seminar and to have exhibited samples of reflected knowledge.

Bång et al., 2008. Lower mortality after prehospital recognition and treatment followed by fast tracking to coronary care compared with admittance via emergency department in patients with ST-elevation myocardial infarction. Int. J. Cardiol. 129 (3), 325–332.

Frazier et al., 2002. Management of anxiety after acute myocardial infarction. Heart Lung 31 (6), 411–420.

Huffman J. C., Stern T. A., 2003. The Use Of Benzodiazepines In The Treatment of Chest Pain: A Review of The Litterature. J. Emerg. Med. 25, 427–437.

Lord B., Parsell B., 2003. Measurement of pain in the pehospital setting using a visual analogue scale. Prehosp. Disas. Med. 18 (4), 353–358.

Moser et al., 2007. Impact of anxiety and perceived control on in-hospital complications after acute myocardial infarction. Psychosom. Med. 69, 10–16.

Sandman, L., Nordmark, A., 2006. Ethical conflict in pre-hospital emergency care. Nurs. Ethics 13 (6), 592607.