Key result
An educational course in cardiovascular nursing for ambulance nurses did not significantly reduce patient pain intensity 15 minutes after randomisation compared to standard care (median VAS 4.0 vs 4.0, p=0.24).
Why the study?
Does a cardiovascular nursing course for ambulance nurses improve prehospital pain relief in patients experiencing suspected acute coronary syndrome?
Population
1,747 patients with pain raising suspicion of acute coronary syndrome and pain score ≥4 on a visual analogue…
Comparison
Prehospital care provided by ambulance nurses… vs Prehospital care provided by ambulance nurses…
Design
RCT, Cluster randomised controlled trial where ambulance nurses' qualification…
Follow-up
30 days
Authors
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Does not support ambulance nurse education for reducing acute cardiac pain; challenges training efficacy and leaves open need for alternative prehospital strategies.
RCT (n=1,747)
Cluster randomized
Yes
Does a cardiovascular nursing course for ambulance nurses improve prehospital pain relief in patients experiencing suspected acute coronary syndrome?
Absolute Event Rate: 4% vs 4%
p-value: p=0.24
An educational intervention in cardiovascular nursing for ambulance nurses did not significantly reduce patient pain scores at 15 minutes but was associated with improved pain relief upon hospital admission for suspected ACS.
Sundström et al. (2016) conducted an RCT in Suspected acute coronary syndrome (n=1,747). Course in cardiovascular nursing (CVN) for ambulance nurses vs. Standard education (ambulance nurses without the CVN qualification) was evaluated on Estimated intensity of pain or discomfort according to VAS 15 min after randomisation (p=0.24). An educational course in cardiovascular nursing for ambulance nurses did not significantly reduce patient pain intensity 15 minutes after randomisation compared to standard care (median VAS 4.0 vs 4.0, p=0.24).
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