ÈäÅëÀ» ÁÖ¼Ò·Î ÀÀ±Þ½Ç¿¡ ³»¿øÇÑ È¯ÀÚ¿¡¼ ½ÉÀüµµ ÃÔ¿µ ¼Ò¿ä ½Ã°£¿¡ ´ëÇÑ ÀÀ±Þº§ Á¦µµÀÇ È¿°ú
Effect of emergency bell on door to ECG time in walk-in patients presented to emergency department with chest pain
Çѱ¹ÀÇ·áÁúÇâ»óÇÐȸÁö 2014³â 20±Ç 1È£ p.12 ~ p.24
±è¹Î¿ì(Kim Min-Woo) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
¿À»óÈÆ(Oh Sang-Hoon) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
¹Ú±Ô³²(Park Kyu-Nam) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
ÀÌÁ¤¹Î(Lee Jung-Min) - ¼¿ï¼º¸ðº´¿ø ÀÀ±ÞÀÇÇаú
ÀÌ¿µ¹Ì(Lee Young-Mee) - ¼¿ï¼º¸ðº´¿ø ÀÀ±ÞÀÇÇаú
±èÇÑÁØ(Kim Han-Joon) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
±è¼öÇö(Kim Soo-Hyun) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
°µ¿Àç(Kang Dong-Jae) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ÀÀ±ÞÀÇÇб³½Ç
Abstract
Objectives: The aim of this study was to explore whether emergency bell could shorten door to electrocardiograms (ECG) time in chest pain patients presenting to emergency department (ED) by self-transport.
Methods: This was a planned 6-month before-and-after interventional study design. We set up the emergency bell in walk-in patients¡¯ waiting room. Prior to the change, patients were triaged before an ECG was obtained. In new process, as soon as patient with chest pain push the emergency bell, emergency physicians examined patient and prioritized performing ECG. We analyzed door to electrocardiograms (DTE) times for patients with chest pain and ST segment elevation myocardial infarction (STEMI) patients between two periods.
Results: During the enrollment period, a total of 63 patients called emergency bell. The median DTE time was 6 min (interquartile range: 3.0 - 9.0) and 82.5% received an ECG within 10 minutes, and only three patients were STEMI. DTE time in patient with chest pain was not different between two periods (p=0.980). Before intervention period, 15 walk-in patients admitted in ED for STEMI and 53.8% of STEMI patients received an ECG within 10 minutes. After intervention period, total 19 walk-in patients admitted in ED for STEMI. Of these, 89.5% met the time requirement.
Conclusion: Because a small portion of patients with chest pain activated the emergency bell, new strategy for promotion of emergency bell must be needed.
Å°¿öµå
Electrocardiography, Chest pain, Reperfusion
KMID :
1031020140200010012
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)