Circulation: Cardiovascular Imaging

NOVEMBER 13, 2023

Six nurses and 3 medical residents, who underwent minimal training, scanned 240 patients (61±16 years; 63% with cardiac pathology) in 10 standard views. This technology may increase adoption and improve accuracy of point-of-care cardiac ultrasound.

Nursing 40

Nursing Cardiovascular Imaging Ultrasound Technology 40

Cardiometabolic Health Congress

AUGUST 8, 2024

Key contributions: Advanced cardiac imaging (e.g., high-sensitivity troponin, NT-proBNP) in risk stratification Utilization of advanced echocardiographic techniques (e.g., Key contributions: Registered Dietitians (RDs): Personalized medical nutrition therapy, including specialized diets for comorbid conditions (e.g.,

Education 59

Education Cardiovascular Disease Diabetes Kidney Disease 59

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

On arrival, the patient was in shock, was intubated, and had an immediate cardiac ultrasound. What does a heart look like on ultrasound when the EKG looks like that? Here you go: It's not the world's greatest cardiac ultrasound video, but it does appear to show poor function and low volume. They transported to the ED.

Cardiac Arrest 40

Cardiac Arrest Tachycardia Nursing Ultrasound 40

Dr. Smith's ECG Blog

AUGUST 3, 2018

In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. Here was his prehospital ECG, which I viewed immediately while the resident performed cardiac ultrasound: What do you think? He was awake, with a pulse of 130 and BP of 50/30.

Chest Pain 40

Chest Pain Tachycardia Atrial Flutter Ultrasound 40

ECG Cases

JUNE 7, 2022

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going?

Cardiac Arrest 52

Cardiac Arrest Nursing Ultrasound 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

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. Often, intravascular ultrasound or intravascular optical coherence tomography is requeried to make the diagnosis. This is written by Brooks Walsh.

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. It would be difficult to get a nurse to give it faster! Angio had shown some acute disease in the saphenous vein graft to the posterior descending artery off of the RCA. He was managed medically with Clopidogrel.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

This case reminds me of this 27 year old totally healthy nurse who was previously healthy, presented with acute pulmonary edema and the below ECG that is diagnostic of proximal LAD occlusion, and was dismissed because of her age. Beware a negative Bedside ultrasound. This gets drilled into them. Pericarditis?

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

European Journal of Cardiovascular Nursing

JANUARY 2, 2025

This article describes a primary care nurses experience using two technologies to monitor lung congestion in six patient cases: a remote dielectric sensing device for non-invasive lung fluid measurement and a portable handheld ultrasound device.

Ultrasound 40

Ultrasound Heart Failure Nursing Technology 40

Dr. Smith's ECG Blog

APRIL 9, 2025

On arrival in the ED, a bedside ultrasound showed poor LV function (as predicted by the Queen of Hearts) with diffuse B-lines. I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! Initial BP was 120/96, HR 102, SpO2 98%.

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63