- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: 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.