Abstract
Although the few existing mobile coronary care units have proved effective, the establishment of a new unit is expensive. In order to determine the usefulness of such a unit an evaluation of present patterns for care of the acute myocardial infarct patients and patients dead on arrival at a west-side Cleveland hospital was made. The greatest delay in the care of the acute myocardial infarct patient was his own unwillingness to call for help. The median time for transport of patients to the hospital was 25 min. The study of patients dead on arrival at the hospital showed that the time needed for rescue squads to reach the patients was too long in almost all cases for effective resuscitation to be accomplished. This study shows that present transportation facilities for the acute myocardial infarct patients in this community are adequate. Added equipment and training of personnel for the existing units could obviate the need for a centrally based and more costly mobile coronary care unit.
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