ABSTRACT

INTRODUCTION Acute myocardial infarction (AMI) carries a high mortality and is the commonest single cause of death in developed countries. Its clinical presentation is a heart attack and effective treatment is obviously of paramount importance. The main issue in prehospital management of heart attack is to minimize the time from symptom onset to treatment and in the mean time to stabilize the patient, prevent or treat fatal arrythmias, obtain a working diagnosis for patient triage, initiate the primary medical treatment, and to assure patient transferral to relevant life-saving reperfusion therapy or to further medical treatment and diagnosis as soon as possible.