3 / 8
Page 21
December 09-10, 2019 | Barcelona, Spain
Nursing Practice 2019 & Neonatology 2019
December 09-10, 2019
Nursing and Nursing Practice Neonatology and Perinatology
7
th
Global Experts Meeting on
4
th
World Congress on
ISSN: 2632-251X | Volume 3
Journal of Nursing Research and Practice
J Nurs Res Pract, Volume 3
Acute Coronary Syndrome: Nurse’s practice in prehospital procedures
Michał Czapla
Wroclaw Medical University, Poland
T
he Emergency Medical System is one of the most important elements of the healthcare system because it is essential for
the citizens' sense of security. A medical rescue team (EMT) assists patients in cases of immediate danger to their health
and life. The differences between the medical emergency system in Poland and the rest of the world are visible in relation
to the types of EMTs, their crews, the education system and competence. In EMTs in Poland one can work as a nurse if
they have a bachelor's degree with the appropriate specialization: emergency nursing, anesthesia of intensive care, surgery,
cardiology and pediatrics. The major of Paramedics also takes place at the level of a 3-year bachelor studies programme.
The competence of a paramedic and nurses are the same under these circumstances. However, in the case of Acute Coronary
Syndromes (ACS) in the prehospital period, the nurse is required to conduct an interview and perform an electrocardiogram.
Additionally, in a case where there is a shred of doubt about whether a given ECG result indicates ACS, the nurse has the option to
perform a transmission ECG to the invasive cardiology center. With a reasonable suspicion of ACS, the nurse has at their disposal
medications such as acetylsalicylic acid, morphine, nitroglycerin, heparin and oxygen. After performing an ECG transmission and
after consulting a physician who will evaluate them, they can use clopidogrel or ticagrelor. Therefore, the nurse must follow the
guidelines of the European Resuscitation Council and the European Cardiac Society for the treatment of ACS in pre-hospital care.
Biography
Michał Czapla, Ph.D., MBA is a paramedic and dietitian and an assistant professor of public health and health management. Member
of the European Public Health Association (EUPHA), the European Society of Cardiology - Association of Cardiovascular Nursing &
Allied Professions (ACNAP).
michal.czapla@umed.wroc.pl