The Role of Paramedicsin the Saudi red crescent authority in Enhancing Outcomes for Acute Myocardial Infarction Patients: A Pre-Hospital Perspective

Abstract

Acute myocardial infarction (AMI) is a leading cause of mortality worldwide, with early reperfusion therapy being crucial for improving patient outcomes. Paramedics play a vital role in the pre-hospital management of AMI, as they are often the first point of contact for patients and can significantly influence the timeliness and quality of care. This paper explores the critical role of paramedics in enhancing outcomes for AMI patients from a pre-hospital perspective. The integration of 12-lead electrocardiography (ECG) into paramedic practice has been a significant advancement, enabling the rapid identification of ST-segment elevation myocardial infarction (STEMI) in the field and facilitating faster decision-making and targeted interventions. Furthermore, the administration of thrombolysis by paramedics has the potential to reduce door-to-needle times and improve survival rates, particularly in rural or remote areas where transport times to specialized facilities may be prolonged. However, this responsibility requires advanced training and strict adherence to protocols to ensure patient safety. Paramedics also contribute to public education efforts, raising awareness about recognizing AMI symptoms and the importance of prompt emergency service activation. Despite the demonstrated benefits of paramedic-led interventions, challenges remain in optimizing their role in pre-hospital AMI care, including the need for ongoing investment in training, equipment, and systemic support. This paper aims to underscore the importance of empowering paramedics as frontline providers in the battle against AMI and contribute to the ongoing efforts to optimize pre-hospital care for AMI patients.