CARE FOR PATIENTS WITH ACUTE CORONARY SYNDROME IN PREHOSPITAL CARE: AN INTEGRATIVE REVIEW

Abstract

Acute Coronary Syndrome (ACS) is a term used to characterize a group of clinical signs compatible with acute myocardial ischemia. Pre-hospital care is essential for successful patient treatment and decreased mortality. In view of this scenario, the objective is to characterize the strategies adopted in pre-hospital care for better care of patients with suspected or diagnosed ACS. To this end, an integrative literature review was carried out with a descriptive approach based on consultation of the Scientific Electronic Library Online, National Library of Medicine, Virtual Health Library and Google Scholar databases. As inclusion criteria, texts available online, in full and free of charge, in Portuguese or English, published between 2019 and 2024, which were compatible with the theme and answer the research question, were eligible. After selection, the sample consisted of 20 studies, which evidenced the fundamental role of pre-hospital care in the care of ACS cases, also pointing out that the establishment of standardized care protocols, rapid triage, training of health professionals, regular monitoring of door-to-balloon and door-needle times, emergency care in mobile units,  The use of software programs for mobile devices, as well as early recognition, electrocardiograms, oxygen administration in case of hypoxia, and the use of medications are strategies that favor better outcomes in care in cases of ACS.