title: [The prehospital phase of the acute myocardial infarct and its treatment in the mobile intensive care unit].
abstract: Mortality in the early phase of an acute myocardial infarction is high. Approximately two thirds of coronary deaths occur before the patients reach hospital, and if this mortality is to be reduced the prehospital phase must be shortened. For this purpose, mobile intensive care units are in use in many places with good results. The delay during the prehospital phase of acute myocardial infarction in Zurich has been analyzed prospectively (1) in a study performed in 1971/72 prior to the institution of the mobile intensive care unit ("Kardiomobil"), and (2) during the first year of Kardiomobil service. In 180 patients with acute myocardial infarction admitted to hospital by Kardiomobil the prehospital phase was considerably shorter (median delay 2 h 11 min) than in 216 with myocardial infarction in the same period not transported by Kardiomobil (7 hr 11 min) and in the 196 patients of the pre-Kardiomobil study (5 hr 55 min). Not only was the delay due to transport shorter in the Kardiomobil group but also the patient's and doctor's delays.
mesh_terms: D003325:Coronary Care Units; D006760:Hospitalization; D006801:Humans; D008952:Mobile Health Units; D009203:Myocardial Infarction / Q000401:mortality / Q000628:therapy*; D012151:Resuscitation; D013997:Time Factors; D000078329:Workforce
vernacular_title: Die Vorspitalphase des akuten Myokardinfarktes und ihre Beeinflussung durch mobile Intensivbehandlung