MANAGEMENT OF CHEST PAIN IN PREHOSPITAL SETTINGS
Saša Ignjatijević1, Dušica Janković2, Aleksandra Mihajlov2, Milan Elenkov3
1 University Clinical Centre Niš, Emergency Centre, 2 EMS Institute, Niš,
3 General Hospital Pirot
INTRODUCTION: Acute chest pain is a sudden onset of pain in the form of tightness, pressure in the frontal part of the chest wall, limited between middle axillary lines left and right and the suprasternal fossa above and the xyphoid process below. Anamnestic data on the reasons why the patient comes depends on the age, sex, associated diseases, alcohol or drug use. The above-
SOURCE AND SELECTION OF AVAILABLE MATERIAL: Review of available professional literature using the terms: chest pain syndrome, prehospital, management, chest pain.
SYNTHESIS OF MATERIALS: In prehospital settings, focused gathering of anamnestic data, detailed clinical examination and use of diagnostic tools are the basis for assessing the causes of chest pain. Patients at-
CONCLUSION: Making an accurate diagnosis in patients with chest pain in prehospital settings is difficult due to a number of factors. The time constraints required to take detailed data on symptoms and previous conditions make it difficult to make a diagnosis, and the lack of diagnostic and laboratory equipment also makes it difficult to assess the patient in prehospital settings. The preliminary diagnosis is made on the basis of targeted anamnesis, clinical examination and ECG. Therefore, a large number of patients must be referred for further diagnostic examinations.
Key words: Prehospital, management, chest pain.
University Clinical Centre Niš,
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