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Ebook Emergencies in cardiology (2nd edition): Part 2

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Nội dung chi tiết: Ebook Emergencies in cardiology (2nd edition): Part 2

Ebook Emergencies in cardiology (2nd edition): Part 2

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

Ebook Emergencies in cardiology (2nd edition): Part 2resGeneral considerations 360Central venous lines 362Pulmonary artery (Swan-Ganz) catheters 366Temporary pacing 3Ó8Inserting an arterial line 370Peric

ardial drainage (pericardiocentesis) 372Intra-aortic balloon counterpulsation 374Exercise stress testing 378360 CHAPTER 20 Practical proceduresGeneral Ebook Emergencies in cardiology (2nd edition): Part 2

considerationsThere is always time to thinkThere are very few emergencies that require an immediate response. A focused period of reflection and plan

Ebook Emergencies in cardiology (2nd edition): Part 2

ning, supported when required by the opinion and contribution of others, is an essential prelude to the successful performance of a practical procedur

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

Ebook Emergencies in cardiology (2nd edition): Part 2correct starting point. Many a practical procedure is abandoned after prolonged, fruitless (and often painful and dangerous) attempts with an observat

ion to the patient that ‘We can do without it’. Consider the indications for the proposed procedure and any special factors that may affect the likeli Ebook Emergencies in cardiology (2nd edition): Part 2

hood of success or the risk. Review all alternative approaches to the problem. Commit to a procedure only if the intervention is considered essential

Ebook Emergencies in cardiology (2nd edition): Part 2

or has much to offer, at a risk judged acceptable to your patient, ideally with informed consent though this may not always be possible or appropriate

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

Ebook Emergencies in cardiology (2nd edition): Part 2ever hesitate to ask for help or guidance or to initiate referral to an appropriate specialist. This text aims to serve as a practical aide-memoire an

d is not a substitute for formal training and practical experience.Even if experienced and confident in a procedure, never underestimate the role and Ebook Emergencies in cardiology (2nd edition): Part 2

importance of assistants or other professionals that will be involved (e.g. radiographers in temporary pacemaker insertion). The full range of skills

Ebook Emergencies in cardiology (2nd edition): Part 2

will be required.Do you have the setting and equipment for the procedure?Remember the rule of the 13 Ps:In the Performance of Practical Procedures, Pr

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

Ebook Emergencies in cardiology (2nd edition): Part 2tion and schedule•Secure time, free of likely interruption—who will hold your bleep? Are there any competing urgent clinical concerns?•Rearrange the r

oom and furniture to secure optimum access. Adjust patient position, bed height, lighting, and remove obstructions•Prepare and check all items of equi Ebook Emergencies in cardiology (2nd edition): Part 2

pment that will be required

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

Part 3Practical issuesChapter 20 Practical proceduresChapter 21 ECG recognition359383This page intentionally left blankChapter 20359Practical procedur

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