<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832024000100215</article-id>
<article-id pub-id-type="doi">10.12707/rvi23.123.33412</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Resposta pré-hospitalar do enfermeiro da ambulância suporte imediato de vida à pessoa com dor torácica aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Out-of-hospital response of the immediate life support ambulance nurse to patients with acute chest pain]]></article-title>
<article-title xml:lang="es"><![CDATA[Respuesta prehospitalaria del enfermero de la ambulancia de soporte vital inmediato a la persona con dolor torácico agudocentral]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Bruno Miguel Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Carlos Pires]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Emergência Médica Suporte Imediato de Vida, Enfermagem ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Bragança Campus de Santa Apolónia ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>serVI</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832024000100215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832024000100215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832024000100215&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A dor torácica aguda (DTA) é um sintoma comum na pessoa com síndrome coronária aguda (SCA) que requer frequentemente cuidados de emergência.  Objetivo:  Conhecer o tempo de resposta pré-hospitalar e a atuação do enfermeiro da ambulância suporte imediato de vida nas ocorrências de DTA, na pessoa com suspeita de SCA, relativamente a dois distritos do interior norte de Portugal.  Metodologia:  Estudo observacional, analítico transversal, retrospetivo, de cariz quantitativo, numa amostra de 75 ocorrências.  Resultados:  Verificaram-se tempos totais longos na resposta pré-hospitalar, ultrapassando os 95 minutos em ambos os distritos e, no enfarte agudo miocárdio com elevação do segmento ST (EAMCSST), apresentando tempos médios de 131 ± 22,23 minutos, sucedido em 10,66% da amostra total. Os enfermeiros utilizaram o protocolo da dor torácica na generalidade das ocorrências (98,7%), realizaram eletrocardiograma (97,3%) e contribuíram para a melhoria dos sintomas (72%).  Conclusão:  O enfermeiro é essencial no diagnóstico e controlo da sintomatologia, mas os tempos de resposta, particularmente no EAMCSST, ultrapassam o recomendado para a realização do procedimento de eleição, a angioplastia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Acute chest pain (ACP) is a common symptom in patients with acute coronary syndrome (ACS) that often requires emergency care.  Objective:  Examine the out-of-hospital response time and the role of immediate life support nurses in the presence of ACP in patients with suspected ACS, in two districts in the interior north of Portugal.  Methodology:  Observational, analytical, cross-sectional, retrospective, quantitative study with a sample of 75 occurrences.  Results:  Total out-of-hospital response times were high, exceeding 95 minutes in both districts. In ST-elevation myocardial infarction (STEMI), total mean times were 131 ± 22.23 minutes, which occurred in 10.66% of the total sample. The nurses used the chest pain protocol in the majority of occurrences (98.7%), performed electrocardiogram (97.3%), and contributed to symptom improvement (72%).  Conclusion:  Although the nurse&#8217;s role is crucial for establishing the diagnosis and managing symptoms, the response times, especially in STEMI cases, exceed the recommended time for the procedure of choice (angioplasty).]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  El dolor torácico agudo (DTA) es un síntoma frecuente en las personas con síndrome coronario agudo (SCA) que a menudo requiere atención de urgencias.  Objetivo:  Conocer el tiempo de respuesta prehospitalaria y el papel del enfermero de la ambulancia de soporte vital inmediato en casos de DTA en personas con posible SCA en dos distritos del norte de Portugal.  Metodología:  Estudio observacional, analítico, transversal, retrospectivo, cuantitativo, con una muestra de 75 casos.  Resultados:  Se registraron tiempos totales de respuesta prehospitalaria largos, superiores a 95 minutos en ambos distritos, y en infarto agudo de miocardio con elevación del segmento ST (EAMCSST), con tiempos medios de 131 ± 22,23 minutos, seguido del 10,66% de la muestra total. Los enfermeros utilizaron el protocolo de dolor torácico en la mayoría de los casos (98,7%), realizaron electrocardiogramas (97,3%) y contribuyeron a la mejoría de los síntomas (72%).  Conclusión:  El enfermero es fundamental para diagnosticar y controlar los síntomas, pero los tiempos de respuesta, sobre todo en el IAMCEST, superan los recomendados para el procedimiento de elección, la angioplastia.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[doenças cardiovasculares]]></kwd>
<kwd lng="pt"><![CDATA[dor no peito]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem em emergência]]></kwd>
<kwd lng="pt"><![CDATA[ambulâncias]]></kwd>
<kwd lng="pt"><![CDATA[atendimento de emergência pré-hospitalar]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular diseases]]></kwd>
<kwd lng="en"><![CDATA[chest pain]]></kwd>
<kwd lng="en"><![CDATA[emergency nursing]]></kwd>
<kwd lng="en"><![CDATA[ambulances]]></kwd>
<kwd lng="en"><![CDATA[emergency medical services]]></kwd>
<kwd lng="es"><![CDATA[enfermedades cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[dolor en el pecho]]></kwd>
<kwd lng="es"><![CDATA[enfermería de urgencias]]></kwd>
<kwd lng="es"><![CDATA[ambulancias]]></kwd>
<kwd lng="es"><![CDATA[atención prehospitalaria de urgencia]]></kwd>
</kwd-group>
</article-meta>
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