Cardiac Monitoring in the Emergency Department

Crit Care Nurs Clin North Am. 2016 Sep;28(3):331-45. doi: 10.1016/j.cnc.2016.04.009. Epub 2016 Jul 2.

Abstract

Patients present to the emergency department (ED) with a wide range of complaints and ED clinicians are responsible for identifying which conditions are life threatening. Cardiac monitoring strategies in the ED include, but are not limited to, 12-lead electrocardiography and bedside cardiac monitoring for arrhythmia and ischemia detection as well as QT-interval monitoring. ED nurses are in a unique position to incorporate cardiac monitoring into the early triage and risk stratification of patients with cardiovascular emergencies to optimize patient management and outcomes.

Keywords: 12-Lead electrocardiogram; Arrhythmias; Cardiac monitoring; Emergency department; Myocardial ischemia/infarction; QT-Interval; ST-Segment monitoring.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac / diagnosis*
  • Arrhythmias, Cardiac / nursing
  • Electrocardiography / methods*
  • Emergency Nursing
  • Emergency Service, Hospital*
  • Humans
  • Ischemia / diagnosis*
  • Ischemia / nursing
  • Monitoring, Physiologic / nursing*
  • Triage