• Arch Cardiovasc Dis · Mar 2015

    Multicenter Study Observational Study

    Management of non-traumatic chest pain by the French Emergency Medical System: Insights from the DOLORES registry.

    • Stéphane Manzo-Silberman, Nathalie Assez, Benoît Vivien, Karim Tazarourte, Tarak Mokni, Vincent Bounes, Agnès Greffet, Vincent Bataille, Geneviève Mulak, Patrick Goldstein, Jean Louis Ducassé, Christian Spaulding, and Sandrine Charpentier.
    • Service de cardiologie, université Paris VII, CHU Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France. Electronic address: stephane.manzosilberman@lrb.aphp.fr.
    • Arch Cardiovasc Dis. 2015 Mar 1; 108 (3): 181-8.

    BackgroundThe early recognition of acute coronary syndromes is a priority in health care systems, to reduce revascularization delays. In France, patients are encouraged to call emergency numbers (15, 112), which are routed to a Medical Dispatch Centre where physicians conduct an interview and decide on the appropriate response. However, the effectiveness of this system has not yet been assessed.AimTo describe and analyse the response of emergency physicians receiving calls for chest pain in the French Emergency Medical System.MethodsFrom 16 November to 13 December 2009, calls to the Medical Dispatch Centre for non-traumatic chest pain were included prospectively in a multicentre observational study. Clinical characteristics and triage decisions were collected.ResultsA total of 1647 patients were included in the study. An interview was conducted with the patient in only 30.5% of cases, and with relatives, bystanders or physicians in the other cases. A Mobile Intensive Care Unit was dispatched to 854 patients (51.9%) presenting with typical angina chest pains and a high risk of cardiovascular disease. Paramedics were sent to 516 patients (31.3%) and a general practitioner was sent to 169 patients (10.3%). Patients were given medical advice only by telephone in 108 cases (6.6%).ConclusionsEmergency physicians in the Medical Dispatch Centre sent an effecter to the majority of patients who called the Emergency Medical System for chest pain. The response level was based on the characteristics of the chest pain and the patient's risk profile.Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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