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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Pericarditis IV: Nursing Management01:25

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
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Prehospital Chest Pain Management: Disparity Based on Homeless Status.

Travis M Curtis1, Omid Boozarpour2, Daniel E Rebagliati1

  • 1Albany Medical College, Albany, New York, USA.

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Summary

People experiencing homelessness received less prehospital treatment for chest pain, including aspirin and nitroglycerin. Further research is needed to address these disparities in emergency medical services care.

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Area of Science:

  • Emergency Medicine
  • Health Services Research
  • Social Determinants of Health

Background:

  • Emergency medical services (EMS) are a critical healthcare access point for individuals experiencing homelessness.
  • Understanding disparities in prehospital care for this vulnerable population is essential.

Purpose of the Study:

  • To investigate the relationship between homelessness and the evaluation and treatment of chest pain by EMS.
  • To identify potential disparities in prehospital care for chest pain patients experiencing homelessness.

Main Methods:

  • Analysis of 2019 EMS data from San Francisco for chest pain activations.
  • Categorization of patients into those experiencing homelessness and those not.
  • Comparison of prehospital treatment rates based on established protocols.

Main Results:

  • Patients experiencing homelessness were less likely to receive aspirin, intravenous access, and nitroglycerin compared to other patients.
  • No patients experiencing homelessness received analgesic medication, though a small percentage of other patients did.
  • Patients experiencing homelessness were more frequently assigned a "chest pain-not cardiac" clinical impression.

Conclusions:

  • Significant disparities exist in prehospital chest pain treatment for patients experiencing homelessness.
  • Further large-scale studies are required to confirm and understand these care gaps.
  • While 12-lead ECG acquisition was high, clinician impression may obscure underlying biases in care.