During transfer, Joan is continually monitored for signs of deterioration. Prior to arrival at the interventional centre her condition deteriorates.
Transfer of patients to interventional centres
Two randomised trials have confirmed that emergency transfer of patients to interventional centres for PCI can be undertaken safely. Prompt transfer of patients for primary PCI was associated with a reduction in the end point of death, re-infarction and stroke at 30 days when compared to thrombolysis.
For more information see SIGN 148 PDF.
- Cardiac monitor Joan is tachycardic as a consequence of reduced cardiac output, this is a sign of heart failure.
- Blood pressure cuff with line to monitor – Joan is hypotensive, due to reduced cardiac output and can lead to reduced perfusion of major organs.
- Venflon Joan has a venflon in situ for emergency access to drugs, in this case she needs IV furosemide.
- Oxygen probe Her saturations are low despite high concentrations of oxygen, due to pulmonary oedema
- Oxygen mask Joan is tachyneoic and hypoxic, despite high concentrations of oxygen due to presence of pulmonary oedema.
- Stethoscope On auscultation of the lungs, there are crackles in the lungs indicating fluid overload (Pulmonary Oedema).
Page last reviewed: 10 Jun 2020
