The ECG in Prehospital Emergency Care
Wiley-Blackwell (Verlag)
978-1-4051-8577-6 (ISBN)
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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.
William Brady, MD Professor of Emergency Medicine, University of Virginia Charlottesvile, VA USA Korin Hudson, MD Assistant Professor of Emergency Medicine, Washington Hospital Center Georgetown University Washington, DC USA Sabina Braithwaite, MD Assistant Professor of Emergency Medicine, University of Virginia Charlottesvile, VA USA Jeffrey Ferguson, MD Assistant Professor of Emergency Medicine, East Carolina University Greenville, NC USA Steven Mitchell, MD Assistant Professor of Emergency Medicine, University of Washington Seattle, WA USA
List of Contributors ix
Foreword xi
Preface xiii
Section 1 The ECG in Prehospital Patient Care 1
1 Clinical applications of the electrocardiogram (ECG) 3
Robert C. Schutt William J. Brady and Steven H. Mitchell
2 Clinical impact of the electrocardiogram (ECG) 7
Robert C. Schutt William J. Brady and Steven H. Mitchell
3 Interpretation of the electrocardiogram – single-, multi-, and 12-lead analysis 12
Robert C. Reiser Robert C. Schutt and William J. Brady
4 Variants of the normal, lead misplacement, and electrocardiographic artifact encountered in clinical practice 17
Robert C. Reiser Robert C. Schutt and William J. Brady
Section 2 Cardiac Rhythms and Cardiac Dysrhythmias 23
5 Cardiac rhythms with normal rates 25
Korin B. Hudson and William J. Brady
6 Narrow QRS complex tachycardia 29
Courtney B. Saunders and Jeffrey D. Ferguson
7 Wide QRS complex tachycardia 37
Michael Levy and Francis X. Nolan Jr
8 Bradycardia 44
Korin B. Hudson J. Aidan Boswick and William J. Brady
9 Atrioventricular conduction block 50
Steven H. Mitchell Korin B. Hudson and William J. Brady
10 Intraventricular conduction block: bundle branch block and other conduction abnormalities 54
Steven H. Mitchell Richard B. Utarnachitt and William J. Brady
11 Atrial and ventricular ectopic beats 62
Jeffrey D. Ferguson Michael Levy J. Aidan Boswick and William J. Brady
Section 3 Acute Coronary Syndrome and the 12-Lead ECG 67
12 Ischemic heart disease: anatomic and physiologic considerations 69
Peter Pollak Peter Monteleone Kelly Williamson David Carlberg and William J. Brady
13 Historical development of the prehospital electrocardiogram (ECG) 76
Erik Iszkula David Carlberg and William J. Brady
14 Electrocardiographic findings in acute coronary syndrome 79
Peter Monteleone Peter Pollak David Carlberg and William J. Brady
Section 4 Special Populations High-Risk Presentation Scenarios and Advanced Electrocardiographic Techniques 95
15 The electrocardiogram in the pediatric patient 97
Robert Rutherford Robin Naples and William J. Brady
16 The electrocardiogram in the poisoned patient 104
Steven H. Mitchell Christopher P. Holstege and William J. Brady
17 The electrocardiogram in hyperkalemia 112
Steven H. Mitchell and William J. Brady
18 Life-threatening electrocardiographic patterns 117
Steven H. Mitchell Richard B. Utarnachitt and William J. Brady
19 The electrocardiogram in patients with implanted devices 122
Amita Sudhir and William J. Brady
20 Electrocardiographic tools in prehospital care 127
Robin Naples Alvin Wang and William J. Brady
21 Wolff-Parkinson-White syndrome 134
William J. Brady
22 Cardiac arrest rhythms 138
Amita Sudhir and William J. Brady
Section 5 Electrocardiographic Differential Diagnosis of Common ECG Presentations 145
23 Electrocardiographic differential diagnosis of narrow complex tachycardia 147
Megan Starling and William J. Brady
24 Electrocardiographic differential diagnosis of wide complex tachycardia 152
Amita Sudhir and William J. Brady
25 Electrocardiographic differential diagnosis of bradyarrhythmia 161
Megan Starling and William J. Brady
26 Electrocardiographic differential diagnosis of ST segment elevation 165
Megan Starling and William J. Brady
27 Electrocardiographic differential diagnosis of ST segment depression 176
Amita Sudhir and William J. Brady
28 Electrocardiographic differential diagnosis of T wave abnormalities: the prominent T wave and T wave inversions 183
Amita Sudhir and William J. Brady
Index 195
| Erscheint lt. Verlag | 4.1.2013 |
|---|---|
| Verlagsort | Hoboken |
| Sprache | englisch |
| Maße | 221 x 277 mm |
| Gewicht | 562 g |
| Themenwelt | Medizin / Pharmazie ► Gesundheitsfachberufe ► Rettungsassistent / -sanitäter |
| Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie | |
| Medizin / Pharmazie ► Pflege | |
| ISBN-10 | 1-4051-8577-5 / 1405185775 |
| ISBN-13 | 978-1-4051-8577-6 / 9781405185776 |
| Zustand | Neuware |
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