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Using Willis (2010) reflective model, this account focuses on myocardial infarction. The case encountered involved an elderly gentleman suffering cardiac chest pain for an hour before our arrival.
Highlighted in the text review is the time critical nature of a myocardial infarct. In this instance it took an hour from call time until arrival at the PPCI unit; which was good overall considering our location from the hospital. While in the house we could have used the family to our advantage and asked them to clear the way through the room to the door for egress with a carry chair, instead of doing this ourselves which could have slightly reduced our on scene time. However, overall the timeliness of helping the patient and securing him for conveyance was reasonable.
The Department of Health states that it is the right of the patient to determine what happens to their own bodies. During this call we kept the patient informed that we had a very high suspicion that he was suffering a heart attack and the treatment that he required. The patient had mental capacity and was not coerced into treatment he did not want; he gave verbal consent.
Following the literature review concerning the signs, symptoms and treatment of myocardial infarction it’s clear that the patient we treated had a huge amount of classic signs and symptoms of a myocardial infarction. I have refreshed my knowledge of silent and NSTEMI as well as learning that females may also present slightly differently to a male with the same condition. Following the appropriate care pathway is essential in this time critical situation for the patient to gain the most effective outcome.
For references and appendices please click 'Read more' below.
30/09/2013 1 Comment