title: [The outcome of "thoracic pains" in pre-hospital emergency: role of the physician of the SMUR in the triage and conveyance of patients].
abstract: The retrospective analysis of SMUR (Service Mobile Urgences Réanimation) activity in Neuchâtel from 2000 to 2001 shows that 11% of the 1250 prehospital interventions were due to "chest pain". Based upon the NACA gravity scale, a potentially serious cardiac disease was present in more than 75% of the cases. 64% of the patients were admitted to the ICU and 16% were directly transferred to an interventional cardiologic center. 63% of all "chest pain" patients underwent an invasive cardiologic intervention (thrombolysis, PTCA, coronary bypass). Rapid prehospital management including a professional emergency team, such as SMUR, may contribute to a better outcome of these patients exposed to acute and sometimes fatal complications.
authors.affiliation: CMCU-SMUR Hôpital des Cadolles, 2000 Neuchâtel.
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Corniche
authors.forename: Regula Zürcher
authors.initials: RZ
authors.lastname: Zenklusen
authors.forename: Réza
authors.initials: R
authors.lastname: Kehtari
mesh_terms: D000368:Aged; D002637:Chest Pain / Q000209:etiology / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013557:Switzerland; D014218:Triage