DAIC
MAY 16, 2024
If left untreated, PAD may progress to severe forms known as chronic limb-threatening ischemia (CLTI) and acute limb ischemia (ALI). It has been estimated that less than 5% of patients with PAD in the U.S. are prescribed to participate in a supervised exercise program.”
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.
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
OCTOBER 8, 2023
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. Remember, in diffuse subendocardial ischemia with widespread ST-depression there may b e ST-E in lead s aVR and V1. The ECG does not show any signs of ischemia. There are also J-waves.
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.
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