ECGNAME THE DOG : ECGNAME THE DOG INVOLVE THE EMT-B
ENCOURAGE DISCUSSION
BASIC CONCEPTS
ECG INTERPRETATION
NAME THE DOG
MI PATTERNS
ADVANCED CONCEPTS IF TIME PERMITS `
VOLTAGE AND TIME : VOLTAGE AND TIME REVIEW THE ECG PAPER
VERTICAL IS VOLTAGE MEASURED IN Mv.
VERTICAL IS CONVERTED IN MM. “I MM ST ELEVATION”.
HORISONTAL IS TIME. “RATE OF 120”.
300, 150, 100, 75, 60, 50 ETC....
Slide 3 :
INTERVALS AND WAVES : INTERVALS AND WAVES REVIEW WAVES
(WHAT THEY REPRESENT)
IF YOU UNDERSTAND THESE CONCEPTS YOU WILL UNDERSTAND THE CONDUCTION OF THE HEART!! YOU WILL BE AHEAD OF THE GAME WHEN DETERMINING RX.
BASIC REVIEW : BASIC REVIEW P WAVE = SA NODE, ATRIAL DEPOLE
QRS = VENTRICULAR DEPOLERIZATION
T WAVE REPOLE
NARROW COMPLEX= SUPRA VENTRICULAR
WIDE COMPLEX LIKELY VENTRICULAR
Slide 6 :
BE SYSTEMATIC EVERY TIME : BE SYSTEMATIC EVERY TIME SYSTEMATIC APPROACH
RATE
RHYTHM
P WAVES (SINUS?)
INTERVALS (PR)
QRS COMPLEX
ST SEGMENTS
T WAVES
HOW DO U ROLL? : HOW DO U ROLL? HOW I USE IT....
FAST OR SLOW, <60 GREATER THAN 100?
REGULAR?
WIDE OR NARROW?
P WAVE, INTERVALS, P FOR QRS?
COMPLEXES LOOK THE SAME?
ISCHEMIA OR INFARCT? AXIS?
RELATIVE TO SX?
YOU GUYS? : YOU GUYS? AHI AHI STUFF LIKE THAT?
R-A-TE
R-H-YTHM
I-NTERVALS
A-XIS
H-YPERTROPHY
I-NFARCT
RATE FOR PACER : RATE FOR PACER EACH PACEMAKER SITE HAS AN INHERENT RATE.
SA NODE?
AV?
VENTRICAL?
KNOWING THEIR RATES MAY CLUE YOU IN TO THE CORRECT PACEMAKER.
RATE ON ECG : RATE ON ECG 300, 150, 100, 75, 60, 50
LINEAR EQUALS TIME. LOOKING AT 2 RATES, ATRIAL AND VENTRICULAR.
COUNT R TO R. FIND R WAVE ON A LINE THAT IS EASILY MEASURED. NORMAL CONDUCTION= EQUAL A to V RATE. IF NOT SO WHY?