The 12-Lead ECG in Acute Coronary Syndromes - Text and Pocket Reference Package / Edition 3

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Using an easy-to-understand, step-by-step approach, The 12-Lead ECG in Acute Coronary Syndromes describes how to accurately interpret 12-lead ECGs for effective recognition and treatment of patients experiencing ACS. This 3rd edition simplifies learning with a new three-step method for interpreting 12-lead ECGs, first exposing you to new information, then offering examples, and finally asking you to apply your knowledge. Then it takes 12-lead interpretation one step further by providing strategies to determine the likelihood of the presence of STEMI versus other causes of ST elevation. Written by two well-known educators, Tim Phalen, a paramedic, and Barbara J. Aehlert, a nurse, this guide includes the latest emergency cardiac care guidelines, new research, and new information on treating ACS in both hospital and prehospital environments.

The latest emergency cardiac care guidelines are reflected in updated discussions of ACS treatment.
More than 300 colorful illustrations, including 31 new photos, depict concepts and skills.
Case studies promote early recognition and treatment of problems.
Key Point! boxes offer information that you should remember to minimize problems.
Fast Fact boxes provide helpful information.
Did You Know? boxes provide additional information and the "big picture."
Think About It! boxes offer valuable insights into better patient care.
Objectives open each chapter to emphasize what should be learned.
Key terms are bolded upon first mention to make learning them easier.

New content on STEMI recognition includes a streamlined approach and a new emphasis on STEMI imposters (noninfarct causes of ST elevation).
An updated approach to ECG interpretation provides simple strategies to determine STEMI after you have identified ST elevation.
Four updated, illustrated step-by-step skills have been added, providing easy-to-follow instructions for performing basic techniques.
Four new case studies help you apply content to actual real-life scenarios.
Landscape view presents 12-lead ECGs in the actual sizes seen in the clinical setting.
12-lead ECG dual-function color overlays help you identify the location of a STEMI.
A heart rate ruler is included with every text, making it easier to calculate heart rates.
Over 90 new 12-lead ECGs have been added to this edition, for a total of 133.
30 more practice ECGs have been added to the practice chapter, for a total of 100.
Spiral binding makes it easier to lay the book flat for study or for use while on the job.
A new 50-page pocket reference helps you quickly identify possible STEMI, determine the likelihood of the top STEMI imposters, and confidently categorize the ECG. Included in this package and also sold separately.

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Editorial Reviews

Doody's Review Service
Reviewer: Ellen M Odell, DNP, ACNS-BC, RN (University of Arkansas)
Description: This book describes and teaches 12-lead ECG interpretation with an emphasis on identification of acute coronary syndromes. An update from the 2006 edition, it includes over 100 practice ECGs complete with explanations and final interpretations as well as case studies for application.
Purpose: The authors' aim is to teach 12-lead ECG interpretation and to help readers identify a variety of acute coronary syndromes, specifically STEMI (including location), non-STEMI, and STEMI imposters — conditions that mimic a STEMI on the ECG. The authors also go beyond interpretation and include some discussion of the complications and treatment of patients with acute myocardial infarction.
Audience: The book is written at a level that presumes at least a basic knowledge of ECG recognition, interpretation, and arrhythmia analysis. Although the authors do not specify a target audience, this book is appropriate for emergency personnel, first responders, emergency room personnel, and primary care providers. The primary author, Tim Phalen, is well known for his expertise in ECG interpretation.
Features: The review of the anatomy and physiology of the heart that begins the book is very basic and perhaps not necessary given that is intended for those who already possess basic ECG skills. I would recommend that if the review is deemed pertinent, the authors should emphasize the relationship to 12-lead and/or ACS more. There is a nice overview of the 12-lead ECG, but there is a little overlap in the content of chapters 2 and 3. Again, perhaps some of this information is too basic for readers who do possess some ECG interpretation skills already (i.e. hair removal, skin prep, etc.). However, the actual 12-lead interpretation skills are explained quite well. Throughout the book, the authors use pictures, graphs, key feature boxes, fast facts, etc., to stress important concepts. These are well done and enable readers to more readily understand and apply the concepts. Given that the 12-lead ECG interpretation skills are the main purpose of the book, expanding into the complications and treatment of acute myocardial infarction may be beyond its true scope. This information is presented at a level too basic for most nurses, primary care providers, and emergency department personnel. However, another really nice feature is how each chapter objective precedes an explanation, alerting readers to the specific objectives addressed in that section. The pocket reference that accompanies the main book is good, with the exception that its size makes it difficult to actually read the 12-lead ECG samples that it includes.
Assessment: This is a well-written book and, overall, I do like it. It would be an excellent reference for EMTs and paramedics, as well as for nurses and primary care providers who are novices in the area of cardiac care.
From the Publisher
"The challenge in providing a simplified method of 12-lead ECG acquisition and infarct recognition lies in determining the information that is absolutely necessary for effective recognition and treatment of acute coronary syndromes. If too much "nice to know" information is provided, you are quickly overwhelmed. If a text supplies an inadequate amount of "need to know" information, it is of little benefit to your clinical practice. In writing this book, we have attempted to walk that fine line and avoid both of these outcomes." - Tim Phalen, Barbara Aehlert
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Product Details

  • ISBN-13: 9780323077859
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/11/2011
  • Edition number: 3
  • Pages: 2
  • Sales rank: 224,521
  • Product dimensions: 12.20 (w) x 8.80 (h) x 0.60 (d)

Table of Contents

1. Reviewing the Basics 2. Introduction to the 12-lead ECG 3. Acquiring the 12-lead ECG 4. Acute Coronary Syndromes 5. MI: Recognition and Localization 6. MI: Complications of Myocardial Infarction 7. Acute Coronary Syndromes Imposters 8. Practice ECGs 9. Case Studies Glossary

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