O infarto agudo do miocárdio e a previsão de prioridade segundo o protocolo de Manchester: uma avaliação do profissional enfermeiro

Abstract

The aim of this study is to discuss the proposal for prioritizing care for patients with Acute Myocardial Infarction (AMI) signals through the risk classification based on the protocol of Manchester. As theoretical reference was used the Evidence-Based Practice and the Integrative Literature Review as methodological referential. Controlled descriptors used were "Emergency Nursing", "Pain", "Myocardial Infarction and "Triage". Data collection was done from the database of the BVS and regarded studies on LILACS, SCIELO, MEDLINE and BDENF. Inclusion criteria were: title, abstract and subject, articles of primary studies, published from 2004 to 2014, applied to adult humans of both sexes, in Portuguese, English, Spanish and French available online for free, and main subject as myocardial infarction. From the search, a total of ten articles were selected. From these, three were suitable to compose the sample for this study. As a result, it was possible to identify pain as an important factor to be considered in cases of AMI, and also that there are atypical manifestations of the disease, which may increase the attending time emergency units, when the risk assessment is performed based on the protocol of Manchester. We conclude that, despite being an important document to support the professional classifier, this document shows discrepancies in the attending time depending on the symptoms reported in cases of AMI.