Why do ambulance workers wait until they get to the hospital to use blood thinners on heart attack patients? - how much blood does a hospital use
Why does not the blood thinner (I do not know the scientific name) is on board with them. Why wait until you get to the hospital?
Thursday, January 28, 2010
How Much Blood Does A Hospital Use Why Do Ambulance Workers Wait Until They Get To The Hospital To Use Blood Thinners On Heart Attack Patients?
7 comments:
As already mentioned, the medications you speak, it's about the buster "clot" of drugs. They are very powerful agents working to dissolve blood clots. Ideal to resolve the clot blocking a coronary artery (heart attack) are not, but part of the body, it dissolves blood clots in the body and blood, reduce ability to stop the bleeding and blood clots again.
The use of these drugs is very effective in treating not only heart attack, stroke) are caused by blood clots around (in patients and in some cases. However, most experts agree that one is better and safer for heart attack, percutaneous transluminal angioplasty or bypass surgery, if available. A potential side effect of the largest and most dangerous drug users Buster is a catastrophic bleeding blood clots in the brain (hemmorhagic stroke), uncontrollable bleeding in the gastrointestinal tract (such as an ulcer) or other uncontrollable bleeding. For this reason, the use of these medicines must be in a strictly controlled environment wITH close monitoring of the status of a patient. Because of its potential life-threatening side effects, many patients are not entitled to receive these drugs.
But in many regions of the United States, there were studies and pilot projects in clot busters were applied in the preclinical. The guidelines for this type of program that strict exclusion criteria in an effort to reduce the risk of complications catrastrophic contains. I understand that there has been some success the result of these programs, but am not sure that the official results of these studies, the survival rate of complications, etc. Compared
Seen in the picture that leads the administration of clot-busting medication with a high potential for life-threatening complications. Emerging in the preclinical setting will focus on immediate stabilization and transport, and the first test problems a patient might not be eligible for thrombolytic therapy (history of ulcers, surgical or identify trauma, etc.) and alert the receiving hospitalimmenent arrival of a victim of a heart attack. The first in the area of non-cardiac chest pain / ACI consists of oxygen therapy, administration of aspirin (shown dramatic effects on patient survival, discharge), the acquisition of a baseline 12-lead ECG, Control of arrhythmias in life, pain, etc. These activities are often carried out simultaneously with medical improper handling, fast patient appropriate entity.
Well, on a personal note. In the U.S., people who talk to EMS professionals. Some people have careers, some volunteers ... depending on where they are. But they are) all qualified professionals (medics and paramedics. Please note that there is more to these people on the ambulance unit. Gone are the days of the Band-Aids and powerful engines. EMS is recognized as a related profession.
According to local legislation, the training of paramedics in the ambulance and the availability of drugs. Streptokinase is administered by slow infusion, while a new (expensive) drugs known as tenecteplase can be administered by injection. The latter has been specifically designed for use in an ambulance and found to be useful. Only if the journey time is important, has the additional benefit to outweigh the risk of blood clots Buster at the hospital. Moreover, when the last treatment, the balloon angioplasty provides clot busters are not required.
Among patients with AMI, 324 mg (baby aspirin) is immediately given a blood thinner .... this with nitroglycerine, morphine, 12-channel diagnostic and nitro paste for emergency services, all the doctors together.
Heprin and the like are not performed in the units in which they pose a potential liability and dangerous for the PT. We have X-rays or CT scans in the drives. I have many titles, 12 of which was normal and the PT had a myocardial infarction (MI) when they participate in the emergency room.
Good question!
anticoagulant drugs is not an emergency, oxygen, besides helping on the other side of drugs, restart the heart if it stops. some are so strong that anticoagulants should be administered only under the supervision, monitoring of conditions at other factors like what other medications you have, your age, weight, etc. The task of the ambulance workers are transporting the patient to a hospital for further support.
Streptokinase mean? Buster is a blood clot. In reality, the needs of strict medical supervision, so why wait until they are in hospital. It is a strong drug. And depends on body weight, etc ... to be examined by a doctor.
Some give aspirin to patients in the United Kingdom, said the aid or not!
Drugs such as warfarin did (or coumarin in the U.S.) and heparin is no real use at the time of a heart attack and then be used to prevent new attacks.
Added: As people have rightly said, there are many better alternatives to the use of "clot busters."
Cover the patient can cause internal bleeding, internal bleeding and death in a lot of people, so it must be controlled, aspirin is adopted here in the United Kingdom
Probably because they are already for their efforts .... This is the result of our pursuing Sue happy society.
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