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Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Cardiovascular examination in emergency departments
1University of the West of England and the emergency department of the North Bristol NHS Trust.
Insights
Emergency nurses in the UK can improve patient outcomes by mastering cardiac anatomy and examination skills. Early identification of adverse cardiac findings through effective history taking and physical assessment is crucial.
Area of Science:
- Cardiology
- Emergency Nursing
- Clinical Skills
Background:
- Cardiac pain assessment is not a standard role for UK emergency nurses.
- Nurses require knowledge of cardiac anatomy and disease for effective patient care.
- Early detection of cardiac issues can significantly improve patient prognosis.
Purpose of the Study:
- To review cardiac anatomy and common cardiovascular diseases.
- To outline methods for gathering subjective and objective patient data.
- To enhance nurses' ability to form differential diagnoses for cardiac pain.
Main Methods:
- Review of cardiac anatomy and cardiovascular disease literature.
- Description of cardiovascular examination techniques.
- Guidance on interpreting patient history and physical findings.
Main Results:
- Nurses can identify critical information through patient history and cardiac exams.
- Effective assessment skills enable earlier recognition of adverse cardiac events.
- Improved diagnostic capabilities for nurses managing cardiac pain patients.
Conclusions:
- Empowering emergency nurses with cardiac assessment skills is vital.
- Enhanced knowledge improves the early detection of cardiovascular disease.
- This contributes to better patient journeys and outcomes in emergency care.
Abstract:
History taking and physical examination of patients who present with cardiac pain are not generally regarded as part of an emergency nurse's role in the UK. However, a good knowledge of the anatomy of the heart and cardiac disease, and the ability to undertake effective cardiovascular examination, could enable nurses to highlight adverse findings earlier in a patient's journey and improve patient outcomes. This article reviews the anatomy of the heart and cardiovascular disease, and describes how to pick out the subjective and objective information from patient histories and cardiac examination to make differential diagnoses.
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