This set conveniently combines the self-study STEMI Provider Manual with the companion ECG ACS Ruler to help out-of-hospital and emergency department personnel rapidly assess, diagnose, and treat ST-segment elevation myocardial infarction (STEMI) patients. With the major goals of keeping door-to-needle time within 30 minutes for patients without contraindications, and door-to-balloon time within 90 minutes, the manual covers out-of-hospital and emergency department systems of care for STEMI, STEMI identification and treatment, and acute coronary syndromes (ACS) pathophysiology. The appendix includes 12-lead ECGs with annotations for self-study. The manual is a continuing education-accredited activity. The ECG ACS Ruler is a companion tool for ACS electrocardiogram (ECG) analysis and recognition that graphically defines ACS ECG findings for heart injury, ischemia, and infarction; gives directions on how to measure ST deviation with a transparent "window" grid; has 2 transparent grids calibrated to 25 mm/s paper -- the "window" grid that is placed over the ECG tracing to measure the ST segment at the appropriate time after the J point (0.04 second for ACS and 0.08 second for stress testing), and an interval grid that is used to measure PR, QRS, and QT intervals. The ruler also identifies infarct location with ECG graphics for specific leads for anterior, inferior, and lateral infarct; lists normal values for PR, QRS, and QTc intervals; and has ruler markings to estimate heart rate, inch, and cm. (The ECG ACS Ruler (80-1181) is also sold separately.) |
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