Introduction: Acute coronary syndrome is the leading cause of the death and is one of the main causes of the hospitalization. It represents huge problem in public health system. Paramedics play a key role in identifying the signs of the acute coronary syndrome and its treating. Purpose: The purpose of the bachelor thesis is to present and to summarize the existing, up-to-date and evidence-based knowledge of the acute coronary syndrome. Further, it presents the treatment of acute coronary syndrome outside of the hospital and the role of rescuers of its detection. The importance of educating paramedics for higher quality work is also highlighted. Methods: We used a descriptive research method in the bachelor thesis. We reviewed and critically examined the domestic and foreign scientific literature in the field of acute coronary syndrome published between 2008 and 2018, with the exception of two older literatures. Scientific literature was researched using PubMed, ScienceDirect, Web of Science, Medline and Cobiss databases. Results: Acute coronary syndrome is a disease, in which blood flow through the coronary artery is reduced. We divided it into three subtypes: unstable angina pectoris, myocardial infarction or sudden cardiac death. The Emergency Medical Assistance team should be familiar with the guidelines of taking action in case of acute coronary syndrome upon arrival at the site of the event. Only with rapid and accurate treatment of the patient outside of the hospital, we can reduce the effects of acute coronary syndrome. Numerous additional training and exercises of paramedics are crucial for improving results of identifying and treating acute coronary syndrome. Discussion and conclusion: Achieving good results in detecting signs of acute coronary syndrome outside of the hospitals is still a major challenge both in Slovenia and in elsewhere around the world. Great progress has been made in the modernization of the equipment in ambulances and in the establishment of more modern communication systems between the paramedics and the hospital or the dispatcher. The most important thing is the continuous education and training of paramedics on modern approaches to addressing acute coronary syndrome.
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