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ST Segment Monitoring in the ED
Transcript of ST Segment Monitoring in the ED
AHA Standard Guideline
Class I Recommendation
"Patients Who Present to the ED With Chest Pain or Anginal Equivalent Symptoms"
Background Courtesy of Cross Duck
ST SEGMENT MONITORING
IN THE ED
We Are Equipped
To Do So
Setting up Phillips Monitor for EASI
xtreme bottom of sternum
- (Red) Left mid
xillary same transverse as E
- (White) R
ght mid axillary, same line as E
lead is a
The old saying still applies but angled - "Smoke over fire and clouds over earth" Then just know that Brown is the bottom of the sternum
We need to monitor this effectively to be better at detecting silent ischemia
ST Segment monitoring with Philips
EASI lead placement
Filling the Knowledge Gap
ST Segment Monitoring on Philips MP50
Leads to Monitor
ACS Rule Out - Minimum of V3 and Lead III
12 Lead contiguous
Priorities of Analysis
Assess ST Elevation
Assess for for T wave inversion (NSTEMI or unstable angina)
Assess for ST depression
Arrhythmias that obscure ST
Understand our goals
Class I AHA Recommendation
EASI Lead Placement
ST Segment changes
Save a life!
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