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      Pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin. A position paper of the Acute Cardiovascular Care Association (ACCA) of the ESC.

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          Abstract

          Chest pain and acute dyspnoea are frequent causes of emergency medical services activation. The pre-hospital management of these conditions is heterogeneous across different regions of the world and Europe, as a consequence of the variety of emergency medical services and absence of specific practical guidelines. This position paper focuses on the practical aspects of the pre-hospital treatment on board and transfer of patients taken in charge by emergency medical services for chest pain and dyspnoea of suspected cardiac aetiology after the initial assessment and diagnostic work-up. The objective of the paper is to provide guidance, based on evidence, where available, or on experts' opinions, for all emergency medical services' health providers involved in the pre-hospital management of acute cardiovascular care.

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          Author and article information

          Journal
          Eur Heart J Acute Cardiovasc Care
          European heart journal. Acute cardiovascular care
          SAGE Publications
          2048-8734
          2048-8726
          Aug 27 2015
          Affiliations
          [1 ] Department of Cardiology, Interventional Cardiology and Cardiology Research Units, Caen University Hospital, France beygui-f@chu-caen.fr.
          [2 ] Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Finland; Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden.
          [3 ] University of Foggia, Italy.
          [4 ] Empresa Pública de Emergencias Sanitarias de Andalucía, Spain.
          [5 ] Paracelsus Medical University, Nuremberg, Germany.
          [6 ] Wir leben Medizin, Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Germany.
          [7 ] Third Department of Medicine, Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria.
          [8 ] Department of Cardiology, Copenhagen University Hospital, Gentofte, Denmark.
          [9 ] Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet Solna, Sweden.
          [10 ] Centro Nacional de Investigaciones Cardiovasculares and Department of Cardiology, Hospital 12 de Octubre, Madrid, Spain.
          [11 ] ISALA Academy, Interventional Cardiology, Zwolle, The Netherlands.
          [12 ] Cardiology Department, Konstantopouleio General Hospital, Athens, Greece.
          [13 ] Universitätsmedizin Berlin, Charité, Campus Virchow-Klinikum, Medizinische Klinik m.S. Intensivmedizin und Nephrologie, Berlin, Germany.
          [14 ] Emergency Department, University Hospital of Rangueil, Toulouse, France.
          [15 ] Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Sweden.
          [16 ] ICCU, Division of Cardiology, San Filippo Neri Hospital, Rome, Italy.
          [17 ] SAMU and Emergency Department, Lille University Hospital, France.
          Article
          2048872615604119
          10.1177/2048872615604119
          26315695
          c563fe57-746c-4a82-b28b-a823af636d2f
          History

          Pre-hospital,chest pain,dyspnoea
          Pre-hospital, chest pain, dyspnoea

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