Critical Decisions in Emergency and Acute Care Electrocardiography

Description

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.Content: Chapter 1 What are the Clinical Applications of the ECG in Emergency and Critical Care? (pages 1–11): Rajan A. G. Patel and Christopher M. RemboldChapter 2 What are the Indications for the ECG in the Pediatric Emergency Department? (pages 12–18): Michael A. McCulloch and D. Scott LimChapter 3 What are the Limitations of the ECG in Clinical Practice? (pages 19–23): J. Jason West and Allan G. SimpsonChapter 4 Is the ECG Indicated in Stable, Non?Cardiac Patients Admitted to the Hospital? (pages 24–27): Andrew Darby and Michael RagostaChapter 5 What is the Use of the ECG in Preoperative Assessment and Cardiovascular Risk Stratification? (pages 28–32): Peter M. Pollak and Ellen C. KeeleyChapter 6 Which Patients Benefit from Continuous Electrocardiographic Monitoring during Hospitalization? (pages 33–38): Adam Helms and John FergusonChapter 7 How should the ECG be Used in the Syncope Patient? (pages 39–48): Christopher T. BoweChapter 8 How should the ECG be Used in the Chest Pain Patient? (pages 49–57): Jason T. SchafferChapter 9 How should the ECG be Used in the Dyspneic Patient? (pages 58–63): Carl A. GermannChapter 10 How should the ECG be Used in the Patient with Altered Mentation? (pages 64–68): Tamas R. PeredyChapter 11 How should the ECG be Used in the Patient During and Following Cardiac Arrest? (pages 69–74): John R. SaucierChapter 12 What is the Impact/Proper Role of the Ecg in the Undifferentiated Cardiorespiratory Failure Patient? (pages 75–81): Michael OsmundsonChapter 13 What is the Role of the ECG in ACS? (pages 83–91): Samuel J. Stellpflug, Joel S. Holger and Stephen W. SmithChapter 14 What Pseudoinfarction Patterns Mimic ST Elevation Myocardial Infarction? (pages 92–102): Stephen W. Smith and David M. LarsonChapter 15 What ECG Changes might Myocardial Ischemia Cause other than ST Segment Elevation or Q Waves and What are the Differential Diagnoses of these Changes? (pages 103–114): Stefan C. Bertog and Stephen W. SmithChapter 16 What is a Hyperacute T Wave? (pages 115–121): Mark D. Connelly, Joel S. Holger and Stephen W. SmithChapter 17 What is the Significance of Q Waves? (pages 122–127): Wayne Whitwam and Vipin KhetarpalChapter 18 What are the ECG Indications for Additional Electrocardiographic Leads (Including Electrocardiographic Body?Surface Mapping) in Chest Pain Patients? (pages 128–137): Daniel T. O'Laughlin, Khaled Bachour and Wayne WhitwamChapter 19 What further Diagnostic Adjuncts to the Standard 12?Lead ECG may Help to Diagnose ACS? (pages 138–147): Mark D. Connelly, Joel S. Holger, Stefan C. Bertog and Stephen W. SmithChapter 20 Is Serial Electrocardiography (Serial ECGs and ST Segment Monitoring) of Value in the ECG Diagnosis of ACS? (pages 148–154): Daniel T. O'LaughlinChapter 21 What QRS Complex Abnormalities Result in ST Segment Elevation that may Mimic or Obscure AMI? (pages 155–166): Stephen W. Smith and David M. LarsonChapter 22 What are the Electrocardiographically Silent Areas of the Heart? (pages 167–175): Samuel J. Stellpflug, Joel S. Holger and Stephen W. SmithChapter 23 What is the Value of the Prehospital Acquired 12?Lead ECG? (pages 176–181): Michael Christopher KurzChapter 24 What are the Electrocardiographic Indications for Reperfusion Therapy? (pages 182–194): William Brady, David Burt, Chris Ghaemmaghami, Robert O'Connor and Stephen W. SmithChapter 25 What are the ECG Manifestations of Reperfusion and Reocclusion? (pages 195–203): Daniel T. O'LaughlinChapter 26 Does Localization of the Anatomic Segment/Identification of the Infarct?Related Artery Affect Early Care? (pages 204–215): Wayne Whitwam and Stephen W. SmithChapter 27 Can the ECG be Used to Predict Cardiovascular Risk and Acute Complications in ACS? (pages 216–229): Wayne Whitwam, Nima Taha and Khaled BachourChapter 28 Can the Electrocardiogram Determine the Rhythm Diagnosis in Narrow Complex Tachycardia? (pages 231–243): Lisa M. Filippone and Claire C. CaldwellChapter 29 Can the ECG Guide Treatment of Narrow QRS Tachycardia? (pages 244–250): Michael A. BohrnChapter 30 How can the ECG Guide the Diagnosis and Management of Wide Complex Tachycardias? (pages 251–266): Traci Thoureen and Amal MattuChapter 31 Can the ECG Guide Management in the Patient with Bradydysrhythmias? (pages 267–275): Joseph ShiberChapter 32 What are the Electrocardiographic Indications for Temporary Cardiac Pacing? (pages 276–283): Michael Abraham and Michael C. BondChapter 33 Can the ECG Accurately Diagnose Pacemaker Malfunction and/or Complication? (pages 284–294): Kevin C. ReedChapter 34 How can the ECG Guide Acute Therapy in the Wolff Parkinson White (WPW) Patient? (pages 295–302): Michael C. BondChapter 35 What is the Role of the ECG in PEA Cardiac Arrest Scenarios? (pages 303–314): Colin G. KaideChapter 36 What is the Role of the ECG in the Critically Ill, Non?Coronary Patient? (pages 315–325): Clay A. Cauthen and Ajeet VinayakChapter 37 Can the ECG Distinguish between Coronary and Non?Coronary Etiologies in the Critically Ill Patient? (pages 326–334): Michael J. Lipinski and D. Kyle HogarthChapter 38 What is the Role of the ECG in Therapeutic Considerations/Medical Management Decisions in the Critically Ill Patient? (pages 335–344): Billie Barker, Adam Helms and Ajeet VinayakChapter 39 Can the ECG Predict Risk in the Critically Ill, Non?Coronary Patient? (pages 345–353): Clay A. Cauthen and Ajeet VinayakChapter 40 What is the Proper Role of the ECG in the Evaluation of Patients with Suspected PE? (pages 354–361): Peter M. Pollak and Joseph E. LevittChapter 41 What is the Role and Impact of the ECG in the Patient with Hyperkalemia? (pages 362–370): Steve Herndon, Benjamin Holland and Ajeet VinayakChapter 42 What is the Role and Impact of the ECG in the Patient with Electrolyte Abnormalities other than Hyperkalemia? (pages 371–377): Benjamin Holland and Franklin McGuireChapter 43 What is the Role of the ECG in the Hypothermic Patient? (pages 378–383): Raed Wahab, Clay A. Cauthen and Daniel GrinnanChapter 44 What are the Non?ACS “Deadly” ECG Presentations? (pages 384–394): Adam Helms, Clay A. Cauthen and Ajeet VinayakChapter 45 How Useful is the ECG in the Evaluation of the Poisoned Patient? (pages 395–401): Nathan P. CharltonChapter 46 Can the ECG Guide Management in the Critically Ill, Poisoned Patient? (pages 402–406): Nathan P. CharltonChapter 47 Do Characteristics of the QRS Complex in the Poisoned Patient Correlate with Outcome? (pages 407–411): Stephen D. Lee, Nathan P. Charlton and Christopher P. HolstegeChapter 48 What is the Treatment for Wide Complex Dysrhythmias in the Poisoned Patient? (pages 412–416): David T. LawrenceChapter 49 What is the ECG Differential Diagnosis of ST Segment Elevation? (pages 417–427): Richard A. Harrigan and Theodore C. ChanChapter 50 What is the ECG Differential Diagnosis of ST Segment Depression? (pages 428–435): Richard A. Harrigan and Theodore C. ChanChapter 51 What is the ECG Differential Diagnosis of the Abnormal T Wave? (pages 436–443): Theodore C. Chan and Richard A. HarriganChapter 52 What is the ECG Differential Diagnosis of Narrow Complex Tachycardia? (pages 444–451): Theodore C. Chan and Richard A. HarriganChapter 53 What is the ECG Differential Diagnosis of Wide Complex Tachycardia? (pages 452–460): Theodore C. Chan and Richard A. HarriganChapter 54 What is the ECG Differential Diagnosis of Bradycardia? (pages 461–468): Richard A. Harrigan and Theodore C. ChanChapter 55 What is the ECG Differential Diagnosis of the Abnormally Wide or Large QRS Complex? (pages 469–478): Theodore C. Chan and Richard A. HarriganChapter 56 What is the ECG Differential Diagnosis of a Prolonged Qt Interval? (pages 479–482): Richard A. Harrigan and Theodore C. Chan