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Safety and efficacy of a prehospital initiated protocol of nitrates plus non-invasive ventilation on prehospital and Emergency Department outcomes for acute cardiogenic pulmonary oedema
medRxiv - Emergency Medicine Pub Date : 2021-10-18 , DOI: 10.1101/2021.10.17.21265081
Ian Howard , Nicholas Castle , Loua Al Shaikh , Robert Owen

Background Acute heart failure is a common presentation to Emergency Departments (ED) the world over. Amongst the most common presenting signs and symptoms is dyspnoea due to acute pulmonary oedema, a life-threatening emergency that if left untreated or poorly managed. There is increasing evidence demonstrating improved outcomes following the use of vasodilators or non-invasive ventilation for these patients in the emergency setting. Consequently, the potential exists that initiating these therapies in the prehospital setting will similarly improve outcomes.

中文翻译:

院前启动的硝酸盐加无创通气方案对急性心源性肺水肿院前和急诊室结局的安全性和有效性

背景急性心力衰竭是全世界急诊科 (ED) 的常见表现。最常见的体征和症状之一是由于急性肺水肿引起的呼吸困难,如果不及时治疗或管理不善,这是一种危及生命的紧急情况。越来越多的证据表明,在紧急情况下对这些患者使用血管扩张剂或无创通气后,预后有所改善。因此,在院前环境中启动这些治疗可能会同样改善结果。
更新日期:2021-10-21
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