Cardiology in the ED Flashcards Preview

CAM201 Clinical Skills > Cardiology in the ED > Flashcards

Flashcards in Cardiology in the ED Deck (7)
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What defines a 'heart' emergency?

  • Chest pain
  • Palpitations
  • Breathlessness
  • Collapse/cardiac arrest


Primary management of cardiac presentation to ED


  • Danger
  • Response
  • Airways
  • Breathing
  • Circulation
  • Disability 
  • Exposure

ABC are the main components.

Recognising a deteriorating patient essential and time critical. 


How do you differentiate from cardiac and other causes of chest pain?



Bedside tests: ECG

Investigations: pathological and radiological tests used carefully with pre-test probabilities taken into consideration. 

Further specialised investigations as indicated based on probability. 


Management of palpitations.

Paients clinical status determines immediate management regardless of diagnosis - cardioversion in dysrhythmia where the patient is compromised. 

Make diagnosis in parallel or after that. 

Most of the time palpitations are caused by stimulants (e.g. caffeine) - check for hyperthyroidism. 


Causes of breathlessness

There are many causes, not all are heart related:

  • Acute pulmonary oedema
  • CCF
  • Pulmonary embolism
  • Pneumonia
  • Upper airway obstruction


Principles of management

  • Early recognition of problem
  • Early definitive mangement
  • Early referral


Role of the doctor in principles of management

  • Work with the patient to solve problems
  • Work as part of a team
  • Make sensible, coherent and logical referrals in a timely fashion. 
  • Be able to be flexible and recognise when the situation changes
  • Anticipate