12 Leads Made Easy

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Slide version of Tim Phalen's 12 Leads Made Easy online course.

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  • This is one of the most common 12 lead layouts.
  • It has 4 columns
  • And 3 rows
  • 12 Leads Made Easy

    1. 1. 12 Leads Made Easy<br />STEMI Recognition Class<br />Michael D. Murley<br />
    2. 2. 12 Leads Made Easy<br />Module 1 – Introduction to 12 Leads<br />Module 2 – Learn to Identify the J Point<br />Module 3 – Learn to identify ST Elevation<br />Module 4 – Lead Views<br />Module 5 – Game for review<br />Module 6 – Putting it all together, STEMI Recognition<br />
    3. 3. Module 1 Intro to 12 Lead<br />Most 12 Leads have this common layout<br />
    4. 4. Module 1 Intro to 12 Lead<br />4 Columns <br />
    5. 5. Module 1 Intro to 12 Lead<br />3 Rows<br />
    6. 6. Module 1 Intro to 12 Lead<br />
    7. 7. Module 1 Intro to 12 Lead<br />Practice filling in the Leads<br />
    8. 8. Module 1 Intro to 12 Lead<br />
    9. 9. Module 2 Learn to ID the J Point<br />STEMI<br />
    10. 10. Module 2 Learn to ID the J Point<br />Achieved by obtaining a rapid 12 Lead ECG <br />
    11. 11. Module 2 Learn to ID the J Point<br />While it is possible to identify Myocardial Infarction by clinical presentation, <br />Lead II = No Clue<br />
    12. 12. Module 2 Learn to ID the J Point<br />We will learn how to:<br /><ul><li>Locate the ST Segment
    13. 13. Identify which parts of the ST Segment we use for analysis</li></li></ul><li>Module 2 Learn to ID the J Point<br />
    14. 14. Module 2 Learn to ID the J Point<br />
    15. 15. Module 2 Learn to ID the J Point<br />Junction Point or J Point<br />
    16. 16. Module 2 Learn to ID the J Point<br />
    17. 17. Module 2 Learn to ID the J Point<br />
    18. 18. Module 2 Learn to ID the J Point<br />
    19. 19. Module 2 Learn to ID the J Point<br />
    20. 20. Module 2 Learn to ID the J Point<br />
    21. 21. Module 2 Learn to ID the J Point<br />
    22. 22. Module 2 Learn to ID the J Point<br />Now that you know how to find the J Point, let’s learn how to find J Point elevation<br />
    23. 23. Module 3 Learn to ID J Point elevation<br />
    24. 24. Module 3 Learn to ID J Point elevation<br />Don’t compare J Point to the PRI segment, there are medical conditions that my cause PRI depression<br />
    25. 25. Module 3 Learn to ID J Point elevation<br />Your eye wants to compare it to the PRI, but that’s not best reference point<br />
    26. 26. Module 3 Learn to ID J Point elevation<br />The TP segment provides the best baseline to evaluate ST elevation<br />
    27. 27. Module 3 Learn to ID J Point elevation<br />
    28. 28. Module 3 Learn to ID J Point elevation<br />Let’s practice finding the J Point and check for elevation/depression<br />
    29. 29. Module 3 Learn to ID J Point elevation<br />Let’s practice finding the J Point and check for elevation/depression<br />
    30. 30. Module 3 Learn to ID J Point elevation<br />
    31. 31. Module 3 Learn to ID J Point elevation<br />
    32. 32. Module 3 Learn to ID J Point elevation<br />
    33. 33. Module 3 Learn to ID J Point elevation<br />
    34. 34. Module 3 Learn to ID J Point elevation<br />
    35. 35. Module 3 Learn to ID J Point elevation<br />
    36. 36. Module 3 Learn to ID J Point elevation<br />
    37. 37. Module 3 Learn to ID J Point elevation<br />
    38. 38. Module 3 Learn to ID J Point elevation<br />
    39. 39. Module 3 Learn to ID J Point elevation<br />
    40. 40. Module 3 Review<br />We’re half way there. In order to recognize STEMI you have to know 2 things<br /><ul><li> What to look for (ST elevation)
    41. 41. Where you are looking (which Lead)</li></li></ul><li>Module 4 Lead Views<br />In Module 4 we will learn which part of the heart that each lead sees.<br />
    42. 42. Module 4 Lead Views<br />There are many different leads with many different features<br />
    43. 43. Module 4 Lead Views<br />
    44. 44. Module 4 Lead Views<br />
    45. 45. Module 4 Lead Views<br />The heart is not oriented vertically in the chest<br />Left Ventricle is Cone shaped and it rest on the diaphragm<br />Left Ventricle is divided into 5 regions<br />
    46. 46. Module 4 Lead Views<br />
    47. 47. Module 4 Lead Views<br />
    48. 48. Module 4 Lead Views<br />
    49. 49. Module 4 Lead Views<br /><ul><li> Posterior</li></li></ul><li>Module 4 Lead Views<br />The QRS complexes are created primarily by the electrical activity occurring in the Left ventricle<br />R<br />Q<br />S<br />You can think of each Lead as seeing a different portion of the Left ventricle<br />
    50. 50. Module 4 Lead Views<br />
    51. 51. Module 4 Lead Views<br />
    52. 52. Module 4 Lead Views<br />
    53. 53. Module 4 Lead Views<br />
    54. 54. Module 4 Lead Views<br />
    55. 55. Module 4 Lead Views<br />
    56. 56. Module 4 Lead Views<br />
    57. 57. Module 4 Lead Views<br />
    58. 58. Module 4 Lead Views<br />
    59. 59. Module 4 Lead Views<br />
    60. 60. Module 4 Lead Views<br />
    61. 61. Module 4 Lead Views<br />
    62. 62. Module 4 Lead Views<br />The criteria for a STEMI is ST segment elevation in two or more contiguous Leads<br />
    63. 63. Module 4 Lead Views<br />Only for ventricular Leads<br />
    64. 64. Module 4 Lead Views<br />V2<br />V1<br />V3<br />V4<br />V5<br />V6<br />
    65. 65. Module 5 Review <br />
    66. 66. Module 5 Review<br />
    67. 67. Module 5 Review<br />
    68. 68. Module 5 Review<br />
    69. 69. Module 5 Review<br />
    70. 70. Module 5 Review<br />
    71. 71. Module 5 Review<br />
    72. 72. Module 5 Review<br />
    73. 73. Module 5 Review<br />
    74. 74. Module 5 Review<br />
    75. 75. Module 5 Review<br />
    76. 76. Module 5 Review<br />
    77. 77. Module 5 Review<br />
    78. 78. Module 6 STEMI Recognition<br />Now we know what we are looking for (ST elevation) and where we are looking (Lead views)<br />It’s time to put it all together by taking a step by step approach to reading 12 Lead ECG’s<br />
    79. 79. Module 6 STEMI Recognition<br />Interrupting the 12 Lead requires you to go Lead by Lead, selecting one good representative complex<br />
    80. 80. Module 6 STEMI Recognition<br />Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis<br />
    81. 81. Module 6 STEMI Recognition<br />Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis<br />
    82. 82. Module 6 STEMI Recognition<br />Once you have your complex, find the J Point and determine if ST elevation is present<br />
    83. 83. Module 6 STEMI Recognition<br />Check each Lead, one by one, throughout all the Leads except aVR. When you’re down, answer this question<br />
    84. 84. Module 6 STEMI Recognition<br />If so, suspect STEMI<br />
    85. 85. Module 6 STEMI Recognition<br />
    86. 86. Module 6 STEMI Recognition<br />Let’s practice<br />
    87. 87. Module 6 STEMI Recognition<br />
    88. 88. Module 6 STEMI Recognition<br />
    89. 89. Module 6 STEMI Recognition<br />
    90. 90. Module 6 STEMI Recognition<br />
    91. 91. Module 6 STEMI Recognition<br />
    92. 92. Congrats! Let’s practice!<br />Let’s Practice<br />
    93. 93. Practice 12 Leads<br />
    94. 94. Practice 12 Leads<br />
    95. 95. Practice 12 Leads<br />
    96. 96. Practice 12 Leads<br />
    97. 97. Practice 12 Leads<br />
    98. 98. Practice 12 Leads<br />
    99. 99.
    100. 100.
    101. 101.
    102. 102.
    103. 103.
    104. 104.
    105. 105.
    106. 106.
    107. 107.
    108. 108.
    109. 109.
    110. 110. Fin<br />

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