Research ArticleOpen Access

Implementation of Rapid Response Flow Reduces the Waiting Time of Patients with Chest Pain in an Emergency Unit

Volume 4 - Issue 2

Marlon M Vilagra, Sandra Maria B Werneck, Bárbara Hang Loss, André Dias Lima Bonfim, Eduado Jannuzi Cunha, Leandra Duarte Bastos, Lahís Werneck Vilagr, Henrik Werneck Vilagra, Marco Orsini* and Eduardo Tavares Lima Trajano

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- Mestrado profissional em ciências aplicadas em saúde, Universidade Severino Sombra Vassouras RJ, Brazil
*Corresponding author: Marco Orsini, Mestrado profissional em ciências aplicadas em saúde, Universidade Severino Sombra Vassouras-RJ, Brazil

Received: April 21, 2018; Published: May 07, 2018

DOI: 10.26717/BJSTR.2018.04.001035

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Abstract

Introduction: Chest pain (CP) is a frequent symptom in emergencies worldwide, presenting as a diagnostic challenge for the emergency room, due to the multiplicity of etiologies, and the diagnostic fluctuation between low and high-risk diseases. The optimized door-to-ECG time is a target and excellent index to be reached in the approach of the patient with TD. Rapid inflow to the hospital until the first EGG can be performed can accelerate the diagnosis and therapy in the patient with DT by determining a risk minimization.

Objective: To evaluate the impact of insertion of a rapid inflow of patients with chest pain in emergency on optimization ECG time.

Method: Door-to-ECG time was evaluated before and after the insertion of a rapid inflow of the patient with CP to the hospital until the first ECG was performed.

Results: ECG-Gate Time was evaluated in 199 service bulletins, 105 with traditional flow and 94 with a rapid flow of care for DT. Door-to- ECG Time was 63 minutes using traditional flow, with rapid flow there was a significant reduction of mean door-to-ECG time to 23.31 minutes in all shifts, a general reduction of 63% (p <0.001), the daytime period decreased by 61% (p <0.001) and the nocturnal period decreased by 63% (p <0.001).

Conclusion: A rapid flow to optimize the door-to-ECG time allowed a significant reduction of the time of approach of the patient with CP with only two months of training of the multiprofessional team.

Keywords: Thoracic Pain; Electrocardiography; Myocardial Infarction