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.

Now that state of the art equipment can be carried in ambulancesprehospital emergency staff are able to perform anECG soon after arrival on scene, enabling theEMS provider to gather important diagnostic information that cannot only guide prehospital therapy but also direct hospital-basedtreatment.This book exclusively addresses ECGs for prehospitalemergencies, ranging from basic rhythm diagnosis to critical careapplications of the electrocardiogram and advanced 12-lead ECGinterpretation in the ACS patient. It provides self testingtraces covering all these conditions seen in prehospital andhospital- based environments. It includes 200 randomly presentedcases mirroring real life situations, with the answers set outseparately together with additional invaluable information.Written by highly experienced emergency physicians with EMSqualifications and experience, this text is an ideal learningtool for trainees and fully qualified staff alike, including groundEMS advanced life support providers, aeromedical staff, andinter-facility critical care transport personnel.

List of ContributorsForewordPrefaceSection 1:1 Clinical Applications of the ECGRobert C. Schutt, William J. Brady, and Steven H. Mitchell2 Clinical Impact of the ECGRobert C. Schutt, William J. Brady, and Steven H. Mitchell3 ECG Interpretation of the Electrocardiogram - Single-, Multi-, and 12-lead Analysis Robert C. Reiser, Robert C. Schutt, and William J. Brady4 Variants of the Normal, Lead Misplacement, and Electrocardiographic Artifact Encountered in Clinical PracticeRobert C. Reiser, Robert C. Schutt, and William J. BradySection 2:5 Cardiac Rhythms with Normal RatesKorin B. Hudson and William J. Brady6 Narrow QRS Complex TachycardiaCourtney B. Saunders and Jeffrey D. Ferguson7 Wide QRS Complex TachycardiaMichael Levy and Francis X. Nolan Jr8 BradycardiaKorin B. Hudson and J. Aidan Boswick9 Atrioventricular Conduction BlockSteven H. Mitchell, Korin B. Hudson, and William J. Brady10 Intra-ventricular Conduction Block: Bundle Branch Block and Other Conduction AbnormalitiesSteven H. Mitchell, Richard B. Utarnachitt and William J. Brady11 Atrial and Ventricular Ectopic BeatsJeffrey D. Ferguson, Michael Levy, and J. Aidan BoswickSection 3:12 Ishemic Heart Disease: Anatomic and Physiologic ConsiderationsPeter Pollak, Peter Monteleone, Kelly Williamson, David Carlberg and William J. Brady13 Historical Development of the Prehospital ECGErik Iszkula and David Carlberg14 ECG Findings in Acute Coronary SyndromePeter Monteleone, Peter Pollak, David Carlberg and William J. BradySection 4:15 The ECG in the Pediatric PatientRobert Rutherford, Robin Naples, and William J. Brady16 The ECG in the Poisoned PatientSteven H. Mitchell, Christopher P. Holstege, and William J. Brady17 The ECG in HyperkalemiaSteven H. Mitchell and William J. Brady18 Life-Threatening ECG PatternsSteven H. Mitchell, Richard B. Utarnachitt, and William J. Brady19 The ECG in Patients with Implanted DevicesAmita Sudhir and William J. Brady20 Electrocardiographic Tools in Prehospital CareRobin Naples, Alvin Wang, and William J. Brady21 Wolff-Parkinson-White SyndromeWilliam J. Brady22 Cardiac Arrest RhythmsAmita Sudhir and William J. BradySection 5:23 Electrocardiographic Differential Diagnosis of Narrow Complex TachycardiaMegan Koontz and William J. Brady24 Electrocardiographic Differential Diagnosis of Wide Complex TachycardiaAmita Sudhir and William J. Brady25 Electrocardiographic Differential Diagnosis of BradyarrhythmiaMegan Koontz26 Electrocardiographic Differential Diagnosis of ST Segment ElevationMegan Koontz27 Electrocardiographic Differential Diagnosis of ST Segment DepressionAmita Sudhir28 Electrocardiographic Differential Diagnosis of T Wave Abnormalities: The Prominent T Wave and T Wave InversionsAmita Sudhir and William J. BradyIndex