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publicado em 01/05/2012 às 12h00:00
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System Digital Tele-Electrocardiography will equip ambulances Samu

Equipment allows the health professional to obtain a more accurate diagnosis of patients still at home

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Foto: Divulgação/Assessoria de Comunicação da Sesa
Ambulance emergency care of Samu
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Ambulance emergency care of Samu

The Health Minister Jose Gomes and director general of the Heart Hospital (HCor), Dr. Adib Jatene, launched this Thursday (28), System Digital Tele-Electrocardiography, cutting edge technology that will help save victims of severe cardiovascular diseases such as myocardial infarction and arrhythmia. The ambulance service will be available in the Office of Mobile Emergency Care (Samu192) and serve the users of the Unified Health System (SUS). System Digital Tele-Electrocardiography allows the health professional to obtain a more accurate diagnosis of patients still at home, before shifting to the hospital. The procedure can reduce up to 20% the number of deaths from heart disease.

Each Samu ambulance will be equipped with a small device (tele-portable electrocardiograph) able to transmit the EKG via cell phone or even by telephone. The examination in the patient's home or in the ambulance is transmitted to the Internet and analyzed in the central Telemedicine Heart Hospital (HCor). The report returns to the ambulance home. The whole process lasts about five minutes. The center has 16 doctors for the reading of electrocardiograms SAMU 24 hours a day. In addition, the physician who is attending the patient can discuss the case with the specialist support in HCor. The work is performed daily in real time.

The service is extremely important for the Brazilian population served by the Emergency Department and Emergency. It combines medical knowledge with cutting edge technology. Enables agility, precision and reducing service time by reducing the sequelae and death from cardiovascular disease, said Minister of Health, Jose Gomes, during the launch of the System, in Brasilia. It's like every ambulance doctor who has had a guiding cardiologist. If the ECG results received confirm the heart attack, all guidance for medication and refer the patient to the hospital is already done, that is, you get a lot of time in patient care, he said.

The pilot project of the Ministry of Health is a partnership with HCor, which owns the digital technology, and is part of the Hospitals of Excellence in the service of the SUS, released by the federal government in 2008. The service was taken over by HCor as part of philanthropic projects through the Project for Excellence Hospitals. He decentralized the hospital records and universalizing access the SUS. The resources tax inseção hospitals of excellence are fully invested in the public highlighted the director-general HCOR, Dr. Adib Jatene.

The direct benefits of this technology are reducing the handling time, the finer analysis of the patient's condition and performance of a screening even in the person's home or in the ambulance to the agile referral to get to a hospital. A study published in Circulation estimates that half of all deaths from heart attacks occurring in the first two hours and every 30 minutes lost in care, the risk of mortality increases by 7%.



In the first phase of the project by the Ministry of Health and HCor, 450 kits were purchased with electrocardiograms and cell phones. One kit serves as an ambulance. Currently, the service is in 37 cities in ten states. So far, 86 kits are already in operation or being installed. Until Jan. 19, 243 visits were conducted with the support of the system in states where the service works.

The goal is to expand this technology to all 147 central regulatory service, covering 1,347 cities and reach approximately 106 million people throughout Brazil. The kits are primarily intended for advanced support ambulances. Currently, there are 326 such vehicles Samu. The Ministry of Health has 1,445 ambulances in operation, and bought in 2009, more than 1,850 new mobile units which circulate in all states and the Federal District in 2010, benefiting more than 90% of the population. We are in full universalization of Samu. With the new ambulances, we will expand people's access to the Emergency Department and Emergency, said the minister.

This diagnosis allows the digital second opinion from a specialist in cardiology and, consequently, higher reliability and accuracy in diagnosis and treatment. International research shows that the interpretation of an electrocardiogram performed by a cardiologist (rather than a general practitioner) reduces from 9% to 5% the number of undiagnosed heart attacks.

The project investments System Digital Tele-Electrocardiography is R $ 6.9 million over three years, applied toward the purchase of equipment, staff training and equipment maintenance.


   Palavras-chave:   Digital Tele-Electrocardiography    Samu    Cardiovascular Infarction    Arrhythmia    Disgnóstico   
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