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Baylor Scott & White The Heart Hospital-Plano in Texas cut times of cardiogenicshock 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.
Researchers were not able to assess unmeasured confounding factors such as biomarker levels, socioeconomic factors, nursing care level, and medication adherence. Beyond in-hospital mortality, weekend patients faced a 3.27x higher risk of death following the procedures.
A cardiovascular specialty hospital in north Texas decreased time to diagnosis for patients with cardiogenicshock by more than half, according to a study published in Critical Care Nurse.
PEARL # 2: In the absence of associated heart failure ( cardiogenicshock ) — sinus tachycardia is not a common finding in acute MI. For now — Let's continue with ECG signs consistent with and suggestive of acute RV "Strain". Sinus Tachycardia and RAD — as already noted above. To emphasize — Count the respiratory rate yourself !
Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. The patient died of cardiogenicshock within 24 hours despite mechanical circulatory support. Imagine you just started your ED shift. It's a busy Friday afternoon.
For patients without easy access, we work closely with family members, nurses, and medical assistants who can facilitate virtual visits. As physicians, we know the value of placing a hand on someone’s calf, detecting a subtle drop in body temperature, and knowing that they have decompensated into a low output cardiogenicshock.
One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. Then the notes mention "cardiogenicshock" but without any reference to a cardiac echo or to a chest x-ray. And they teach me a lot. He can beat nearly anyone. So you don't have to be highly trained.
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. See Dr. Smith’s comments below.
It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. were pretty sick, with mostly LM/pLAD lesions and high rates of cardiogenicshock. This is written by Brooks Walsh. link] A 30 year-old woman was brought to the ED with chest pain.
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