article thumbnail

Cardiogenic shock care improves after nurse education: 5 study notes

Becker's Hospital Review - Cardiology

Baylor Scott & White The Heart Hospital-Plano in Texas cut times of cardiogenic shock diagnosis in half after implementing a quality improvement project that included nurse education and an electronic shock team alert, according to a study published Dec. 1 in Critical Care Nurse.

article thumbnail

Cardiogenic shock team cuts time to diagnosis by half

Medical Xpress - Cardiology

A cardiovascular specialty hospital in north Texas decreased time to diagnosis for patients with cardiogenic shock by more than half, according to a study published in Critical Care Nurse.

article thumbnail

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. ACS and STEMI generally do not cause tachycardia unless there is cardiogenic shock. He had this ECG recorded. The HCO3 was 8.

STEMI 52
article thumbnail

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). Written by Colin Jenkins. Edits by Willy Frick.

article thumbnail

Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

Dr. Smith's ECG Blog

Because of the tachcardia, I would expect her to be very poor left ventricular function and maybe Cardiogenic shock. Today’s patient developed the series of 4 tachyarrhythmias shown above in the critical care area of the ED. Instead, he complained of left chest "itchiness". Not all anterior LV aneurysm has a QS-wave.

article thumbnail

American College of Cardiology (ACC24) Show Preview: Advancing Cardiovascular Care for All

DAIC

Session 508) Battle of the Imagers - Jeopardy Edition! Session 509) Who Wants to Be a Millionaire in Eradicating Vascular Medicine Disparities?

article thumbnail

A 40-Something male with a "Seizure," Hypotension, and Bradycardia

Dr. Smith's ECG Blog

Why is the patient in shock? He was in profound cardiogenic shock. The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists. There is an obvious inferior STEMI, but what else? This STE is diagnostic of Right Ventricular STEMI (RV MI).