Frontiers in Cardiovascular Medicine
APRIL 30, 2024
Critical limb ischemia (CLTI) is the advanced form of PAD that can result in a lack of healing and limb loss as the most devastating consequence. The team should also include wound nurses, nutritionists, occupational therapists, orthotists, pharmacists, physical therapists, prosthetists, and social workers.
Dr. Smith's ECG Blog
MARCH 27, 2025
But it was interpreted as no acute ischemia and the patient was referred to cardiology as Non-STEMI. But clearly this 'Non-STEMI' patient with OMI would have benefited from immediate cath lab activation on arrival, when their first troponin was 11ng/L, rather than after after it rose to 12,000ng/L after 12 hours of refractory ischemia.
Dr. Smith's ECG Blog
DECEMBER 23, 2014
None of these findings are diagnostic of ischemia, but they should give you a high index of suspicion and prompt serial ECGs at a minimum. The patient was diagnosed with esophageal reflux and was being discharged by the nurse when he had a cardiac arrest. Ischemia comes and goes. The formula results in 23.43, just above the 23.4
EMS 12-Lead
JULY 24, 2023
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. What’s interesting is that the ECG can only detect ischemia.
Stroke Journal
FEBRUARY 1, 2024
Introduction:Tenecteplase (TNK) is becoming the preferred thrombolytic for acute brain ischemia. We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Stroke, Volume 55, Issue Suppl_1 , Page ATP112-ATP112, February 1, 2024.
EMS 12-Lead
MAY 20, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. There is LBBB-like morphology with persistent patterns of subendocardial ischemia.
Dr. Smith's ECG Blog
MARCH 30, 2014
One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. Furthermore, there are T-wave changes in V2 and V3 which are highly suggestive of ischemia, but difficult to localize: anterior? And they teach me a lot. He can beat nearly anyone. You don't have to be a genius.
Expert insights. Personalized for you.
52 
Let's personalize your content