open access

Vol 12, No 6 (2017)
Case Reports
Published online: 2017-12-29
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The patient with acute coronary syndrome with ST segment elevation and an on-call doctor (rendez-vouz system) — a case report

Grzegorz Wójcik, Dawid Surowicz, Arkadiusz Kawka, Maciej Lewandowski
DOI: 10.5603/FC.2017.0111
·
Folia Cardiologica 2017;12(6):592-596.

open access

Vol 12, No 6 (2017)
Case Reports
Published online: 2017-12-29

Abstract

The Emergency Medical Services in Poland was constituted to save human health and life. Regardless of applied system solutions, all countries are guided by this assumption. In Poland, the law, which was enforced in 2007, has developed two types of emergency ambulances: one including the doctor (the ”S” team), and one with paramedics only (the “P” team). The “S” team should be sent to all life-threatening conditions, and the “P” team to the remaining conditions. It is noteworthy that in some countries there are only basic teams, and their ability of action and pharmacotherapy is imposed by legal regulations operating in the country. In other systems in Europe, the basic team may rely on the support of a doctor that arrives at the emergency site. In the case described, a patient with myocardial infarction (STEMI, ST-elevation myocardial infarction) with complicated pulmonary edema was initially supplied by the basic team. Due to the serious condition of the patient and the limited ability of action, the doctor was asked to support the team. The reported case presents a solution to abandon the permanent specialist teams that is feasible to apply (not only in Poland), and it suggests other solutions increasing efficiency of activities of the rescue teams.

Abstract

The Emergency Medical Services in Poland was constituted to save human health and life. Regardless of applied system solutions, all countries are guided by this assumption. In Poland, the law, which was enforced in 2007, has developed two types of emergency ambulances: one including the doctor (the ”S” team), and one with paramedics only (the “P” team). The “S” team should be sent to all life-threatening conditions, and the “P” team to the remaining conditions. It is noteworthy that in some countries there are only basic teams, and their ability of action and pharmacotherapy is imposed by legal regulations operating in the country. In other systems in Europe, the basic team may rely on the support of a doctor that arrives at the emergency site. In the case described, a patient with myocardial infarction (STEMI, ST-elevation myocardial infarction) with complicated pulmonary edema was initially supplied by the basic team. Due to the serious condition of the patient and the limited ability of action, the doctor was asked to support the team. The reported case presents a solution to abandon the permanent specialist teams that is feasible to apply (not only in Poland), and it suggests other solutions increasing efficiency of activities of the rescue teams.
Get Citation

Keywords

STEMI, emergency medical services, prehospital care, a doctor in “rendez-vous” system

About this article
Title

The patient with acute coronary syndrome with ST segment elevation and an on-call doctor (rendez-vouz system) — a case report

Journal

Folia Cardiologica

Issue

Vol 12, No 6 (2017)

Pages

592-596

Published online

2017-12-29

DOI

10.5603/FC.2017.0111

Bibliographic record

Folia Cardiologica 2017;12(6):592-596.

Keywords

STEMI
emergency medical services
prehospital care
a doctor in “rendez-vous” system

Authors

Grzegorz Wójcik
Dawid Surowicz
Arkadiusz Kawka
Maciej Lewandowski

References (9)
  1. Act on PRM. Dz. U. 2006 (Journal of Laws), No. 191, item. 1410.
  2. Gaszyński, W. “S” and “P” mean: ambulances In a new way. Anesthesiology Rescue Medicine. 2007; 2: 65–69.
  3. von Vopelius-Feldt J, Benger J. Who does what in prehospital critical care? An analysis of competencies of paramedics, critical care paramedics and prehospital physicians. Emerg Med J. 2014; 31(12): 1009–1013.
  4. Roessler M, Zuzan O. EMS systems in Germany. Resuscitation. 2006; 68(1): 45–49.
  5. Wilson M, Habig K, Wright C, et al. Pre-hospital emergency medicine. Lancet. 2015; 386(10012): 2526–2534.
  6. Dudek D, Legutko J, Siudak Z, et al. [Interventional cardiology in Poland in the year 2012. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society]. Kardiol Pol. 2013; 71(11): 1213–1219.
  7. Stachowiak P, Wójcik G, Kazimierczak A, et al. Comparison of transport methods for patients with ST-elevation myocardial infarction to a percutaneous coronary intervention center and determination of factors influencing long-term mortality. Int J Cardiol. 2016; 214: 537.
  8. Raport NIK (Supreme Audit Office Report) „Funkcjonowanie systemu ratownictwa medycznego” ID number 149/2012/P11094/KZD.
  9. Wójcik G.; Approach and Effectivity In Acute Coronary Syndrome segment elevation ST – ACS STEMI In paramedical practice In area of Szczecin city In 2009-2011; doctoral dissertation, Pomeranian Medical University in Szczecin, Szczecin 2014, unpublished manuscript.

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