A significant number of the patients managed in the emergency department and other acute care settings present with chest pain, cardiovascular instability, or complaints related to the cardiovascular system. The known benefits of early, accurate diagnosis and rapid, appropriate treatment of cardiovascular emergencies have only reinforced the importance of physician competence in electrocardiographic interpretation.
The physician is charged with the responsibility of rapid, accurate diagnosis followed by appropriate therapy delivered expeditiously. This evaluation not infrequently involves the performance of the lead ECG. For example, the patient with chest pain presenting with ST-segment elevation, acute myocardial infarction must be rapidly and accurately evaluated so that appropriate therapy is offered in prompt fashion.
Alternatively, the hemodynamically unstable patient with atrioventricular block similarly must be cared for in a rapid manner. In these instances as well as numerous other scenarios, resuscitative and other therapies are largely guided by information obtained from the ECG.
Stephen mentioned he took a course with Dr. So, I started reading the cribsheets. It helped but still did not provide the foundation I needed. In the beginning I knew very little. My mental notes were limited. However, as the days went by, my knowledge began to increase and I recognized more and more characteristics in each E C G.
Metrics details. Physicians' answers were assessed for correctness when compared to discharge diagnosis and expert ECG interpretation, respectively.
Female physicians showed a significantly higher sensitivity for ACS than male physicians medians 75 vs.
On a scale of , female physicians assigned a higher ACS likelihood than male physicians irrespective of the patient's discharge diagnosis, and also in patients the physician did not believe to have ACS. ROC-area was not significantly different for male and female physicians.
Click here to download free chapter! Right then. And quickly. Despite many believing that it is a static science, our understanding of electrophysiology continues to evolve.
A minimum amount of information is given beneath each trace, as if in the real situation. Accompanied by learning points, and with the cases presented randomly, this book provides a rich source of information on the interpretation of ECGs — a core skill for all emergency department staff.
The full clinical description is printed in a separate section to avoid the temptation of "looking". With over traces to test your knowledge, this book is a first class learning tool for emergency physicians. Free Download Here. The young adult female with altered mental status and a wide QRS complex… …demonstrating significant cardiovascular end-organ toxicity due to tricyclic antidepressant poisoning.
The hypothermic patient with bradycardia… …as well as significant J waves. These clinical scenarios are quite familiar to the practicing emergency physician. Download Product Flyer.
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