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.
Table of Content
List of Contributors
Foreword
Preface
Section 1:
1 Clinical Applications of the ECG
Robert C. Schutt, William J. Brady, and Steven H. Mitchell
2 Clinical Impact of the ECG
Robert C. Schutt, William J. Brady, and Steven H. Mitchell
3 ECG Interpretation of the Electrocardiogram – Single-, Multi-, and 12-lead Analysis Robert C. Reiser, Robert C. Schutt, and William J. Brady
4 Variants of the Normal, Lead Misplacement, and Electrocardiographic Artifact Encountered in Clinical Practice
Robert C. Reiser, Robert C. Schutt, and William J. Brady
Section 2:
5 Cardiac Rhythms with Normal Rates
Korin B. Hudson and William J. Brady
6 Narrow QRS Complex Tachycardia
Courtney B. Saunders and Jeffrey D. Ferguson
7 Wide QRS Complex Tachycardia
Michael Levy and Francis X. Nolan Jr
8 Bradycardia
Korin B. Hudson and J. Aidan Boswick
9 Atrioventricular Conduction Block
Steven H. Mitchell, Korin B. Hudson, and William J. Brady
10 Intra-ventricular Conduction Block: Bundle Branch Block and Other Conduction Abnormalities
Steven H. Mitchell, Richard B. Utarnachitt and William J. Brady
11 Atrial and Ventricular Ectopic Beats
Jeffrey D. Ferguson, Michael Levy, and J. Aidan Boswick
Section 3:
12 Ishemic Heart Disease: Anatomic and Physiologic Considerations
Peter Pollak, Peter Monteleone, Kelly Williamson, David Carlberg and William J. Brady
13 Historical Development of the Prehospital ECG
Erik Iszkula and David Carlberg
14 ECG Findings in Acute Coronary Syndrome
Peter Monteleone, Peter Pollak, David Carlberg and William J. Brady
Section 4:
15 The ECG in the Pediatric Patient
Robert Rutherford, Robin Naples, and William J. Brady
16 The ECG in the Poisoned Patient
Steven H. Mitchell, Christopher P. Holstege, and William J. Brady
17 The ECG in Hyperkalemia
Steven H. Mitchell and William J. Brady
18 Life-Threatening ECG Patterns
Steven H. Mitchell, Richard B. Utarnachitt, and William J. Brady
19 The ECG in Patients with Implanted Devices
Amita Sudhir and William J. Brady
20 Electrocardiographic Tools in Prehospital Care
Robin Naples, Alvin Wang, and William J. Brady
21 Wolff-Parkinson-White Syndrome
William J. Brady
22 Cardiac Arrest Rhythms
Amita Sudhir and William J. Brady
Section 5:
23 Electrocardiographic Differential Diagnosis of Narrow Complex Tachycardia
Megan Koontz and William J. Brady
24 Electrocardiographic Differential Diagnosis of Wide Complex Tachycardia
Amita Sudhir and William J. Brady
25 Electrocardiographic Differential Diagnosis of Bradyarrhythmia
Megan Koontz
26 Electrocardiographic Differential Diagnosis of ST Segment Elevation
Megan Koontz
27 Electrocardiographic Differential Diagnosis of ST Segment Depression
Amita Sudhir
28 Electrocardiographic Differential Diagnosis of T Wave Abnormalities: The Prominent T Wave and T Wave Inversions
Amita Sudhir and William J. Brady
Index
About the author
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