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Now that state of the art equipment can be carried in ambulances, prehospital emergency staff are able to perform an ECG soon after arrival on scene, enabling the EMS provider to gather important diagnostic information that can not only guide prehospital therapy but also direct hospital-based treatment. This book exclusively addresses ECGs for prehospital emergencies, ranging from basic rhythm diagnosis to critical care applications of the electrocardiogram and advanced 12-lead ECG interpretation in the ACS patient. It provides self testing traces covering all these conditions seen in prehospital and hospital- based environments. It includes 200 randomly presented cases mirroring real life situations, with the answers set out separately together with additional invaluable information. Written by highly experienced emergency physicians with EMS qualifications and experience, this text is an ideal learning tool for trainees and fully qualified staff alike, including ground EMS advanced life support providers, aeromedical staff, and inter-facility critical care transport personnel.
"This book is appropriate for a broad audience, ranging from third-year medical students starting clinical rotations to experienced providers looking to expand their knowledge. It is written by a large group of authors, coordinated by the respected emergency medicine physician, Dr. Amal Mattu."—Karl John LaFleur, MD (Regions Hospital), Doody's Review Service BE THE ECG EXPERT! In the emergency department-in any acute or critical care setting-when it's on you to direct a patient's care based on an ECG, you have to be the ECG expert. Right then. See what you need to see, recognize what's important, and act accordingly. And quickly. Get better with Electrocardiography in Emergency, Acute, and Critical Care, 2nd Ed. A highly visual resource, readable from cover to cover, what works and what doesn't. The editors-internationally known experts on ECG interpretation and how to teach it-know from experience what should happen at the bedside, and they show it to you in a clear and practical way. They want you to be confident about reading ECGs. They want you to save lives-and they know you will. HIGHLIGHTS OF THE NEW EDITION: 18 completely revised and updated chapters || High-yield key points at the beginning of each chapter || More than 200 ECG images with explanations of important findings || More than 80 charts and tables for quick illustration of key ECG and patient characteristics || 27 expert contributors. WHAT'S IN IT? · The ECG and Clinical Decision-Making in the Emergency Department · Intraventricular Conduction Abnormalities · Bradycardia, Atrioventricular Block, and Sinoatrial Block · Narrow Complex Tachycardias · Wide Complex Tachycardias · Acute Coronary Ischemia and Infarction · Additional-Lead Testing in Electrocardiography · Emerging Electrocardiographic Indications for Acute Reperfusion · ACS Mimics Part I: Non-ACS Causes of ST-Segment Elevation · ACS Mimics Part II: Non-ACS Causes of ST-Segment Depression and T-Wave Abnormalities · Pericarditis, Myocarditis, and Pericardial Effusions · Preexcitation and Accessory Pathway Syndromes · Inherited Syndromes of Sudden Cardiac Death · Pacemakers and Pacemaker Dysfunction · Metabolic Abnormalities: Effects of Electrolyte Imbalances and Thyroid Disorders on the ECG · The ECG in Selected Noncardiac Conditions · The ECG and the Poisoned Patient · The Pediatric ECG
Now that state of the art equipment can be carried in ambulances, prehospital emergency staff are able to perform an ECG soon after arrival on scene, enabling the EMS provider to gather important diagnostic information that can not only guide prehospital therapy but also direct hospital-based treatment. This book exclusively addresses ECGs for prehospital emergencies, ranging from basic rhythm diagnosis to critical care applications of the electrocardiogram and advanced 12-lead ECG interpretation in the ACS patient. It provides self testing traces covering all these conditions seen in prehospital and hospital- based environments. It includes 200 randomly presented cases mirroring real life situations, with the answers set out separately together with additional invaluable information. Written by highly experienced emergency physicians with EMS qualifications and experience, this text is an ideal learning tool for trainees and fully qualified staff alike, including ground EMS advanced life support providers, aeromedical staff, and inter-facility critical care transport personnel.
Drawing on the collective expertise of prehospital providers and clinicians, ECG Cases for EMS provides paramedics, critical care providers, and nurses with practical case studies in emergency cardiology. Twelve-lead ECGs and prehospital activation of the cardiac catheterization lab are becoming more and more common, with the burden of cardiac injury recognition rapidly shifting to the prehospital provider. This textbook functions as an active learning tool structured around actual patient scenarios with corresponding ECG strips and offers interpretations of ECG findings and clinical tips. Cases focus on STEMI, STEMI mimics, and commonly misinterpreted dysrhythmias. ECG Cases for EMS provides evidence-based teaching points and real-world applications of ECG knowledge.
Offers a guide for a complete understanding of the disease and conditions most frequently revealed in ECGs recorded in the acute, critical, and emergency care settings Electrocardiogram in Clinical Medicine offers an authoritative guide to ECG interpretation that contains a focus and perspective from each of the three primary areas of medical care: acute care, critical care and emergency care. It can be used as a companion with the book ECGs for the Emergency Physician I & II (by Mattu and Brady) or as a stand-alone text. These three books can be described as a cumulative EGG reference for the medical provider who uses the electrocardiogram on a regular basis. Electrocardiogram in Clinical Medicine includes sections on all primary areas of ECG interpretation and application as well as sections that highlight use, devices and strategies. The medical content covers acute coronary syndromes and all related issues, other diseases of the myocardium, morphologic syndromes, toxicology and paediatrics; dysrhythmias will also be covered in detail. This important resource: • Goes beyond pattern recognition in ECGs to offer a real understanding of the clinical syndromes evidenced in ECGs and implications for treatment • Covers the indications, advantages and pitfalls of the use of ECGs for diagnosis in all acute care settings, from EMS to ED to Critical Care • Examines the ECG in toxic, metabolic and environmental presentations; critical information for acute care clinicians who need to be able to differentiate ODs, poisoning and other environmental causes from MI or other cardiac events • Facilitates clinical decision-making Written for practicing ER, general medicine, family practice, hospitalist and ICU physicians and medical students, Electrocardiogram in Clinical Medicine is an important book for the accurate interpretation of EGG results.
This core textbook defines the pathophysiologic mechanisms underlying the disease states commonly encountered by pre-hospital care providers. The chapters are short, clinically focused and specific to the diseases, disorders, and traumatic conditions of critical interest to the EMT and pre-hospital environment. Each chapter identifies the appropriate drugs and management guidelines to be used. Designed to bridge the gap between EMT and the Physician in all emergent or acute conditions, the book includes management cautions and tips are highlighted throughout the presentation. The book is tailored specifically to the curriculum for EMT training.
This book is open access under a CC BY 4.0 license. This quick-reference handbook offers a concise and practical review of key aspects of the treatment of ST-segment elevation myocardial infarction (STEMI) in the era of primary percutaneous coronary intervention (PPCI). In the context of STEMI, PPCI is the preferred mode of emergency revascularization. Access to PPCI is rapidly increasing and is now routinely practiced in both general and specialist hospitals and there has been a recent emphasis on developing STEMI networks to enhance and expedite the referral pathway. This coupled with concurrent developments to enhance the safety and efficacy of the PPCI procedure has heralded an era where STEMI interventions are increasingly considered an important subspecialty within interventional cardiology. Written by leading cardiologists who have been instrumental in the adoption of PPCI in their respective institutions, the book provides junior and senior cardiologists alike with insightful and thought-provoking tips and tricks to enhance the success of PPCI procedures, which may in turn translate into direct improvements in outcomes. The book is also relevant for healthcare providers and emergency department physicians.
This text explains and illustrates the importance of 12-lead electrocardiograms (ECGs) in making rapid and informed decisions in cardiac care. It covers the logical steps to the ECG recognition of the underlying mechanism of cardiac emergencies, their prognostic significance, and the best treatment
Avoiding Common Prehospital Errors, will help you develop the deep understanding of common patient presentations necessary to prevent diagnostic and treatment errors and to improve outcomes. Providing effective emergency care in the field is among the most challenging tasks in medicine. You must be able to make clinically vital decisions quickly, and perform a wide range of procedures, often under volatile conditions.Written specifically for the prehospital emergency team, this essential volume in the Avoiding Common Errors Series combines evidence-based practice with well-earned experience and best practices opinion to help you avoid common errors of prehospital care.Look inside and discover...* Concise descriptions of each error are followed by insightful analysis of the "hows" and "whys" underlying the mistake, and clear descriptions of ways to avoid such errors in the future.* "Pearls" highlighted in the text offer quick vital tips on error avoidance based on years of clinical and field experience.* Focused content emphasizes "high impact" areas of prehospital medicine, including airway management, cardiac arrest, and respiratory and traumatic emergencies.
Focuses on advanced ECG tracings, including abnormalities frequently missed by experienced clinicians and computer algorithms.