The role of the nurse/technician in the differential diagnosis of chest pain

Sve češći je uzrok smrti u općoj populaciji, a javlja se i kod mlađih osoba. Bol u predjelu prsa predstavlja jedan od češćih razloga zbog kojih se bolesnici javljaju hitnoj službi, uz bolove u predjelu trbuha, pogađa od 20-40% populacije tijekom života. U hitni objedinjeni bolnički prijem dolazi 10-15% bolesnika koji, kao razlog, navode bolove u prsima koji su posljedica koronarnog akutnog zbivanja. Učestalost posjeta u hitnoj je službi veća u urbanim sredinama, u odnosu na ruralne bolnice. Također, ispitanici su češće muškoga spola. Međutim, bolovi u prsima nisu uvijek povezani s pojavom koronarnog akutnog zbivanja, a bolesnike se često podvrgne dijagnostičkim postupcima koji nisu potrebni, a to povećava izdatke zdravstvene ustanove. Zbog prezentacije boli moguće je pomisliti na razna hitna/ne hitna stanja poput infarkta miokarda, disekcije aorte, traume prsišta i plućne embolije, ali i opću slabost, bolove u trbuhu te mišićne boli i dr. Na konačni ishod prije svega utječe kvalitetan postupak zbrinjavanja pacijenta na terenu, ali i u bolnici. Stoga će u radu biti prikazana važnost uloge medicinske sestre/tehničara u prepoznavanju, zbrinjavanju i brizi pacijenta s bolovima u prsimaIt is increasingly common cause of death in the general population and it also occurs in younger people. Pain in the chest area is one of the most common reasons why patients report to the emergency service, along with abdominal pain, it affects 20-40% of the population during their lifetime. Approximately 10-15% of patients who, as a reason, cite chest pains as a result of coronary acute events, come to the emergency unit of the hospital. The frequency of visits to the emergency department is higher in urban areas, compared to rural hospitals. Furthermore, respondents are more often male. However, chest pains are not always associated with the occurrence of coronary acute events and patients are often subjected to diagnostic procedures that are not necessary and this increases the expenses of the health care institution. Due to the presentation of the pain, it is possible to think of various emergency/non-emergency conditions such as myocardial infarction, aortic dissection, chest trauma and pulmonary embolism, but also general weakness, abdominal pain and muscle pain, etc. The final outcome is primarily influenced by the quality of the patient care process on the field, but also in the hospital. Therefore, the paper will show the importance of the role of the nurse/technician in the recognition, treatment and care of a patient with chest pai