Derived from hands-on experience working as an educator and paramedic in both urban and frontier settings, Mr. Entsminger provides a concise, easy to understand method of 12-lead electrocardiogram (EKG) field interpretation for prehospital providers. Presenting a step-by-step approach encompassing various learning styles, Mr. Entsminger explains what readers need to know quickly. Written in a hands-on paramedic language, Mr. Entsminger removes confusing, non-pertinent topics less essential to prehospital care, allowing readers to better understand how the 12-lead EKG works and pertains to their setting and care.
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.
The 12-lead electrocardiogram (ECG) is a cornerstone of modern pre-hospital emergency care. Its ability to provide crucial insights into the electrical activity of the heart makes it an indispensable tool for paramedics and emergency medical technicians (EMTs) in diagnosing and managing cardiac emergencies. The goal of "Pre-Hospital 12- Lead ECG" is to equip pre-hospital care providers with the knowledge and skills necessary to effectively utilize this powerful diagnostic tool in the field. This book is structured to provide a comprehensive understanding of the 12-lead ECG, starting from the fundamental anatomy and physiology of the heart to the advanced techniques of ECG interpretation and application in various pre-hospital scenarios. The syllabus is meticulously designed to cover the essential aspects of ECG acquisition and interpretation, with a focus on practical, real-world application. Chapter 1: Anatomy and Physiology of the Heart lays the foundation by exploring the structure and function of the cardiac conduction system, cardiac anatomy relevant to 12- lead ECG interpretation, and the electrophysiology of cardiac muscle contraction. A solid understanding of these concepts is crucial for accurate ECG interpretation.
Huzar's ECG and 12-Lead Interpretation, 5th Edition, by Keith Wesley, M.D., helps you correlate ECG interpretation with clinical findings to identify and address selected heart rhythms. The text is structured to match the order in which you learn specific skills: ECG components are presented first, followed by rhythm interpretation and clinical implications. Take-Home Points, key definitions, chapter review questions, and practice strips help you understand and retain complex information - NEW! Discusses the difference between sinus arrest and SA block to help clarify concepts that learners often find confusing. - UPDATED! STEMI and NSTEMI treatment guidelines updated to the latest standards. - Coverage of both basic and advanced concepts incorporates the latest research developments and provides material pertinent to both beginning and experienced prehospital care providers. - UPDATED and EXPANDED! Key characteristics of each heart rhythm are summarized to allow you to learn or review each rhythm at a glance. - Patient care algorithms outline step-by-step management and treatment, correlating ECG interpretation with history and exam findings. - Advanced treatment content, such as complete coverage of thrombus formation, treatment, and management, offers critical information for both hospital and prehospital settings. - UPDATED AND EXPANDED! Key definitions define important terms right on the page, near relevant content, making it unnecessary to flip to the back-of-book glossary while reading or studying. - Key definitions, chapter review questions, and glossary updated to reflect new content. - Chapter review questions (with answers in an appendix) test your understanding of key topics. - Appendix with 200+ practice strips, questions, and answer keys reinforces major concepts and ties information together. - UPDATED! Glossary defines key terms, supplementing the on-page Key Definitions. - Expert authorship from Dr. Keith Wesley, who has been involved in EMS since 1989 and is a board-certified emergency medicine physician. - Self-assessment answer key allows you to check their own work for self-evaluation. - Chapter outlines offer a quick overview of each chapter's content.
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.
The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership
Welcome to the comprehensive resource on 12-lead ECG! This all-encompassing 4-color text is designed to make you a fully advanced interpreter of ECGs. Whether you are an EMT, nurse, medical student, or physician wanting to learn or brush up on your knowledge of electrocardiography, this book will meet your needs.12-Lead ECG: The Art of Interpretation takes the complex subject of electrocardiography and presents it in a simple, innovative, 3-level approach. Level 1 provides basic information for those with minimal experience interpreting ECGs. Level 2 provides intermediate information for those with a basic understanding of the principles of electrocardiography. Level 3 provides advanced information for those with some mastery of the subject. The entire text is written in a friendly, easy-to-read tone.Full-Size ECGsThis text contains real-life full-size ECG strips! ECGs are integrated throughout the text and analyzed in conjunction with the concepts they illustrate.
