Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

214
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
214
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

639
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
639
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

364
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
364
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

262
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
262
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

331
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
331
Angina V: Nursing Management01:20

Angina V: Nursing Management

284
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
284

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Farmers' knowledge, attitudes, and practices regarding lumpy skin disease in Northern Bangladesh.

BMC veterinary research·2026
Same author

Dementia Care Research and Psychosocial Factors.

Alzheimer's & dementia : the journal of the Alzheimer's Association·2025
Same author

Control, Fludrocortisone or Midodrine for the treatment of Orthostatic Hypotension (CONFORM-OH): results from an internal pilot randomised controlled trial.

Pilot and feasibility studies·2025
Same author

Heavy metal contamination in street dust: source identification and health risk assessment in an urban Bangladeshi setting.

Environmental monitoring and assessment·2025
Same author

Genotypic control of root sodium uptake drives ion imbalance and stress sensitivity under salinity and waterlogging.

Plant science : an international journal of experimental plant biology·2025
Same author

Advancing sustainable lubricating oil management: Re-refining techniques, market insights, innovative enhancements, and conversion to fuel.

Heliyon·2024

Related Experiment Video

Updated: Jan 14, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K

A Quality Improvement Project to Improve Syncope Care Through Structured Triage and Risk Stratification (STARS).

Aaron Lau1, Minhaz Ahmed1, Steve Parry1

  • 1Acute Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, GBR.

Cureus
|October 27, 2025
PubMed
Summary

A structured Syncope Risk Stratification Chart (SRSC) improved documentation of lying/standing blood pressure and family history in syncope patients. However, it did not significantly alter admission or telemetry use, indicating a need for further system-level changes.

Keywords:
cardiac risk factors and preventionguidelineinpatient syncope workuprisk assessment toolssyncope workup

More Related Videos

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.5K
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.2K

Related Experiment Videos

Last Updated: Jan 14, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.5K
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.2K

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Quality Improvement

Background:

  • Syncope is a frequent emergency presentation with diverse causes, necessitating structured risk stratification per European Society of Cardiology (ESC) Guidelines.
  • Real-world adherence to ESC guidelines for syncope management, particularly regarding admission and telemetry decisions, remains inconsistent.
  • Quality Improvement Projects (QIPs) are crucial for assessing and enhancing adherence to clinical guidelines in emergency settings.

Purpose of the Study:

  • To evaluate the impact of a structured Syncope Risk Stratification Chart (SRSC) and targeted education on guideline adherence for syncope patients.
  • To assess the influence of the SRSC and education on clinical assessment practices, including documentation of lying/standing blood pressure (LSBP) and family history (FH).
  • To determine the effect of the intervention on resource utilization, specifically admission rates and telemetry use in the Emergency Department and Medical Admissions Unit (MAU).

Main Methods:

  • A Quality Improvement Project (QIP) involving a retrospective review (n=100) followed by a prospective re-audit (n=29) of syncope admissions.
  • Interventions included the dissemination of a Syncope Risk Stratification Chart (SRSC), staff education, and visual prompts.
  • Key outcome measures included documentation of LSBP and FH, admission rates, and telemetry allocation, compared before and after the intervention.

Main Results:

  • The SRSC and education significantly improved documentation of family history (15% to 41%, p=0.005) and modestly improved LSBP recording (59% to 72%, p=0.27).
  • Initial significant differences in admission rates by ESC risk group (p=0.007) were not observed after the intervention (p=0.52), though overall admissions remained unchanged (92% vs 93%).
  • Telemetry allocation remained inconsistent and not statistically different between rounds, with rates of 17%-71% in Round 1 and 38%-91% in Round 2.

Conclusions:

  • Implementation of the SRSC and targeted education enhanced specific clinical documentation elements for syncope patients.
  • The intervention did not lead to significant improvements in alignment of admission and telemetry practices with ESC recommendations.
  • Sustained improvements in guideline adherence for syncope care require further system-level strategies, including senior triage input and integrated decision-support tools.