Authors

Ariadna Alcaraz Eiró1, Esther Devesa Pradells2, Ángeles Calvillo García3, Yolanda Pueyo Villagrasa4, Alberto Villamor Ordozgoiti5

Position

1Máster en Urgencias. Servicio de Urgencias. Hospital Clínico de Barcelona2Especialista en Enfermería del Trabajo. Unidad de Dolor Torácico. Servicio de Urgencias. Hospital Clínico de Barcelona3Master en Urgencias. Unidad de Dolor Torácico. Servicio de Urgencias. Hospital Clínico de Barcelona4Enfermera. Servicio de Urgencias. Hospital Clínico de Barcelona5Doctorando CC. Enfermería. Dirección de Enfermería. Hospital Clínico de Barcelona

Contact address

Alberto Villamor Ordozgoiti. Hospital Clínico de Barcelona. Supervisión General. Dirección de Enfermería. Escalera 1, piso 3. C/ Villarroel, 170. 0803

Contact email: avilla@clinic.ub.es

Abstract

Objective: to provide an update for Nursing Teams regarding definitions, management and care for patients with Acute Coronary Syndrome (ACS) in the ER or Thoracic Pain Units (TPUs), based on protocols, clinical guidelines, and other updated and relevant contributions on patient care.
Method: a narrative review was conducted, limited to the 2011-2015 year interval, in the Cochrane, Medline, Joanna Briggs Institute, CUIDEN and MEDES databases, with the descriptors: “Síndrome Coronario Agudo”, “Cuidados”, “Guías”, and “Acute Coronary Syndrome”, “Nursing Care”, “Guidelines”, “Emergency nursing”, and reviewing the updated protocols for ACS patient care from the European Society of Cardiology and the European Resuscitation Council.
Results: in total, 15 documents were selected, including clinical guidelines, protocols, reviews and original articles.
Acute Coronary Syndrome includes Unstable Angina, Acute ST Segment Elevation Myocardial Infarction (STEMI) and Acute Non-ST Segment Elevation Myocardial Infarction (NSTEMI). Typical pain is present in 70% of patients; atypical patient is associated with a worse prognosis. An early identification is guaranteed through ECG within the first 10 minutes after arrival at ER. The treatment of choice is Percutaneous Coronary Intervention (PCI) without waiting for troponin results within a 90 to 120-minute range.
Conclusions: a constant update in patient care administration is a key factor for an optimal action when faced with ACS patients at the ER Unit.

Keywords:

Acute Coronary Syndrome; nursing care; guidelines; ER Nursing

Versión en Español

Título:

Actualización en atención de Enfermería al paciente con síndrome coronario agudo en Urgencias