Below is a summary of Ryan’s EHR activity while he is in the ED. As the health coach, you will recommend lifestyle changes to alleviate symptoms, prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. You will also provide the education he needs to understand his diagnosis and the risk factors that may have caused his condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.

1. Internet Research: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?



2. Review Ryan’s VPE: Ryan has 10 electrodes placed on his chest for a 12-lead electrocardiogram (EKG). Explain an EKG.
   
   Review Ryan’s ED EHR: What does Ryan’s EKG results indicate?



3. Internet Research: Ryan responds to the ACLS measures, so his physician orders a cardiac enzyme study, chest X-ray, non-contrast CT scan of the brain/head and echocardiogram. What information can you gather from each of these tests?
• Cardiac enzyme study:
• Chest X-ray:
• Non-contrast CT scan of the head:
• Echocardiogram: