Work on to the hospital stage includes activities at the scene, during transportation, on site or in the medical section.

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Allocate organizational, diagnostic, emergency treatment, prognostic measures.

Paramedic usually broadly focused on the incident (an accident in production, transportation, heavy unconsciousness, pain, etc.)

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When the diagnosis of myocardial infarction is necessary to differentiate it from heart disease (angina, acute pericarditis), aorta (foliate-schaya aortic aneurysm), lung (spontaneous pneumothorax, acute pleurisy, lobar pneumonia, embolism, major branches of the pulmonary artery), abdominal (food poisoning, perforated ulcer, aggravation of calculous cholecystitis) 
Keep in mind that myocardial infarction is often the cause of cardiac asthma. 

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Frequent complications are myocardial infarction, cardiac arrhythmias and conduction.May arise sinus bradycardia and sinus tachycardia, paroxysmal atrial tachycardia, atrial premature beats, paroxysmal supraventricular tachycardia with atrioventricular block.Prognostically unfavorable signs are the appearance of atrial flutter, atrial fibrillation, ventricular tachycardia. Around prekardialnoy skin procaine blockade; irrigation skin over the area of the heart Aether chloratus.

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