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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
"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
This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma – the chapter itself is a specific answer to the question. This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion. This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.
Emergency and critical care providers are often challenged by patients with acute cardiorespiratory symptoms and abnormal electrocardiograms. Critical Cases in Electrocardiography emphasizes clinically-relevant topics, focusing squarely on situations where interpretation of the ECG contributes to clinical decision-making. This atlas is unique, in that it includes numerous examples of ECG 'misses' - cases where the computer algorithm or the clinicians (or both) got the diagnosis wrong. While many textbooks include only smaller, black and white ECG tracings, which do not resemble actual clinical practice, this volume is designed to encourage self-study of the ECG by including full-page tracings in their natural color. The book focuses on 'don't miss' ECG tracings in order to help readers advance beyond the stage of 'competent' electrocardiographer. Anatomic and electrophysiologic correlations are emphasized throughout the work, helping readers appreciate the anatomic and electrical origins of the ECG abnormalities, rather than relying solely on pattern memorization.
The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt.
A new edition of this bestselling resource for emergency physicians seeking to expand their knowledge of the 12-lead electrocardiogram and how it relates to patient care ECGs for Acute, Critical and Emergency Care, 2nd Edition, Volume One, provides comprehensive guidance on the use and interpretation of the 12-lead electrocardiogram (ECG). Celebrating the 20th anniversary since initial publication, this book is an essential teaching and reference text that helps physicians with basic knowledge of electrocardiography quickly locate the objective criteria necessary for various diagnoses, understand different electrocardiographic waveforms and their meaning in individual patients, and interpret the ECG within the context of the patient's presentation. The second edition of ECGs for Acute, Critical and Emergency Care is fully updated and reviewed throughout, featuring ECG cases that are randomly presented to mirror the scenarios encountered in the emergency department. The text contains intermediate and more challenging ECGs representing the common electrocardiographic diagnoses that all acute care physicians need to know. Case histories, clinically focused reviews, ECG interpretations, and comments by the authors accompany each ECG presented. Covers all key areas of accurate ECG interpretation Contains 200 actual ECGs of patients treated in authors' emergency departments Focuses on emergency situations, with increased emphasis on recent literature updates in this new edition Includes appendices of differential diagnoses and commonly used abbreviations Written by two highly experienced specialists, ECGs for Acute, Critical and Emergency Care, Second Edition, Volume One, is a must-have resource for trainee physicians, senior medical students, and practicing physicians who manage patients in emergency departments and other clinical care settings.
This diagnostic resource provides high-level insight into critical findings in EKG interpretation. It offers can¿t-miss tips associated with various readings ¿ helping you make the right decision for every patient, every time. The book fits in your pocket for convenient use on-shift, and it¿s organized for quick reference. Use this guide to confirm your decision-making in the fast-paced emergency medicine environment. The book is ideally suited for interns, off-service rotating residents, and any healthcare provider involved in treating cardiac emergencies.
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.
Provides a comprehensive, clinically relevant resource on electrocardiography for those who care for patients in the emergency setting. The text provides succinct information on ECG abnormalities and their etiologic differential diagnoses; diagnostic criteria for the ECG manifestations of various clinical diseases/entities; and many 12-lead ECG examples for review.