Traduction en anglais : Family physician care of high-risk patients under the aspect of preclinical emergency medicine.
Chances of surviving myocardial infarction or cardiocirculatory arrest depend on an early and appropriate emergency call as well as on bystander CPR.
This study uses a questionnaire to assess to what extent these factors guide the private practitioners caring for high-risk cardiac patients.
Almost all physicians responding (44%) treat such patients.
More than 70% try to include the patients'relatives in a medical briefing.
Recognition of early warning signs is discussed with 80% of the patients and 70% of relatives.
How to identify acute life-threatening conditions is discussed with 60% of patients and relatives.
In case of sudden chest pain and dyspnoea, physicians commonly advise calling the family doctor, a hospital or a regional physician on call.
Calling 112, the emergency physician/rescue service, is rarely recommended.
Initiating CPR is recommended for an emergency by 30% of the physicians, whereas 20% encourage relatives of patients at risk to take a CPR course.
CPR instruction is judged to be generally useful by 50% of physicians, of limited use by 40% and of no use by 10%. When asked why they do not encourage CPR, 15% of physicians said they have no time, 25% cited the inefficiency of the courses, 40% said CPR is psychologically too stressful for laypersons, and 50% felt it was physically too stressful.
This study points out the necessity of additional, appropriate instruction of laymen regarding cardiac emergencies.
Mots-clés Pascal : Enquête, Médecin généraliste, Homme, Arrêt cardiocirculatoire, Urgence, Infarctus, Myocarde, Réanimation cardiocirculatoire, Risque élevé, Malade, Attitude, Education sanitaire, Instruction, Diagnostic, Milieu familial, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Inquiry, General practitioner, Human, Cardiocirculatory arrest, Emergency, Infarct, Myocardium, Intensive cardiocirculatory care, High risk, Patient, Attitude, Health education, Instruction, Diagnosis, Family environment, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0262674
Code Inist : 002B30A05. Création : 199608.