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EKG <ul><li>MetroMedicalDirect.com </li></ul>MetroMedicalDirect.com
EKG Review  MetroMedicalDirect.com
Overview <ul><li>Step by Step approach </li></ul><ul><li>Basic ECG interpretations </li></ul><ul><li>NEED TO KNOW NOT NICE...
NO STRESS MetroMedicalDirect.com
3 Lead Placement MetroMedicalDirect.com
Where are we?    aka. Anatomy SA = 60 – 100 AV = 40 – 60  Vent = < 40 MetroMedicalDirect.com
You are here: Cardiac Conduction System Bachmann’s bundle Left bundle branch Posterior division Anterior division Purkinje...
Have we got rhythm? Timing is crucial MetroMedicalDirect.com
MetroMedicalDirect.com
What’s really Normal??? MetroMedicalDirect.com
Just a few numbers <ul><li>PRI= 0.20 – 0.08 </li></ul><ul><li>QRS= 0.04 – 0.12 </li></ul>MetroMedicalDirect.com
Determining the Rate 6 second rule for IREGULAR RHYTHMS   MetroMedicalDirect.com
Rule of 300 MetroMedicalDirect.com
Rule of 300 MetroMedicalDirect.com
Rule of 1500 MetroMedicalDirect.com
Now you try: MetroMedicalDirect.com
Fast  or S l o w? <ul><li>300 Rule for Regular Rhythms </li></ul>MetroMedicalDirect.com
6 Second Rule MetroMedicalDirect.com
6 Second  Rule MetroMedicalDirect.com
Rule of 300 MetroMedicalDirect.com
Key Points  <ul><li>Rate </li></ul><ul><li>QRS   </li></ul><ul><li>PR Interval </li></ul><ul><li>Pattern </li></ul>MetroMe...
Your Approach….. <ul><li>1   Rate   </li></ul><ul><ul><ul><li>Too Slow < 60, Too Fast > 100, Too Too Fast > 150? </li></ul...
Relationship of P Waves and QRS Complexes <ul><li>Every P wave is followed by a QRS complex with a normal P –R interval </...
Confidence will increase with a little practice. MetroMedicalDirect.com
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MAT MetroMedicalDirect.com
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12 Lead MetroMedicalDirect.com
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Basic EKG

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This guide will review basic methods to interpret the rhythm strip and then you will have the opportunity to practice.

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  • Slide 6: Pediatric BLS Topics PBLS topics are addressed in the following slides.
  • Transcript of "Basic EKG"

    1. 1. EKG <ul><li>MetroMedicalDirect.com </li></ul>MetroMedicalDirect.com
    2. 2. EKG Review MetroMedicalDirect.com
    3. 3. Overview <ul><li>Step by Step approach </li></ul><ul><li>Basic ECG interpretations </li></ul><ul><li>NEED TO KNOW NOT NICE TO KNOW </li></ul><ul><li>Sedation not required </li></ul>MetroMedicalDirect.com
    4. 4. NO STRESS MetroMedicalDirect.com
    5. 5. 3 Lead Placement MetroMedicalDirect.com
    6. 6. Where are we? aka. Anatomy SA = 60 – 100 AV = 40 – 60 Vent = < 40 MetroMedicalDirect.com
    7. 7. You are here: Cardiac Conduction System Bachmann’s bundle Left bundle branch Posterior division Anterior division Purkinje fibers Right bundle branch Bundle of His AV node Internodal pathways Sinus node MetroMedicalDirect.com
    8. 8. Have we got rhythm? Timing is crucial MetroMedicalDirect.com
    9. 9. MetroMedicalDirect.com
    10. 10. What’s really Normal??? MetroMedicalDirect.com
    11. 11. Just a few numbers <ul><li>PRI= 0.20 – 0.08 </li></ul><ul><li>QRS= 0.04 – 0.12 </li></ul>MetroMedicalDirect.com
    12. 12. Determining the Rate 6 second rule for IREGULAR RHYTHMS MetroMedicalDirect.com
    13. 13. Rule of 300 MetroMedicalDirect.com
    14. 14. Rule of 300 MetroMedicalDirect.com
    15. 15. Rule of 1500 MetroMedicalDirect.com
    16. 16. Now you try: MetroMedicalDirect.com
    17. 17. Fast or S l o w? <ul><li>300 Rule for Regular Rhythms </li></ul>MetroMedicalDirect.com
    18. 18. 6 Second Rule MetroMedicalDirect.com
    19. 19. 6 Second Rule MetroMedicalDirect.com
    20. 20. Rule of 300 MetroMedicalDirect.com
    21. 21. Key Points <ul><li>Rate </li></ul><ul><li>QRS </li></ul><ul><li>PR Interval </li></ul><ul><li>Pattern </li></ul>MetroMedicalDirect.com
    22. 22. Your Approach….. <ul><li>1 Rate </li></ul><ul><ul><ul><li>Too Slow < 60, Too Fast > 100, Too Too Fast > 150? </li></ul></ul></ul><ul><li>2 Rhythm </li></ul><ul><ul><ul><li>Regular? Irregular? </li></ul></ul></ul><ul><li>3 P wave </li></ul><ul><ul><ul><li>Present? </li></ul></ul></ul><ul><ul><ul><li>PRI </li></ul></ul></ul><ul><ul><ul><li>Normal? Married to the QRS? </li></ul></ul></ul><ul><li>4 QRS </li></ul><ul><ul><ul><li>Present? Dropped? </li></ul></ul></ul><ul><ul><ul><li>Normal? </li></ul></ul></ul>MetroMedicalDirect.com
    23. 23. Relationship of P Waves and QRS Complexes <ul><li>Every P wave is followed by a QRS complex with a normal P –R interval </li></ul><ul><li>Every P wave is followed by a QRS complex but the P –R interval is prolonged </li></ul><ul><li>Some P waves are not followed by a QRS complex; more P waves than QRS complexes </li></ul>MetroMedicalDirect.com
    24. 24. Confidence will increase with a little practice. MetroMedicalDirect.com
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    59. 59. ? MetroMedicalDirect.com
    60. 60. ? MetroMedicalDirect.com
    61. 61. MAT MetroMedicalDirect.com
    62. 62. MetroMedicalDirect.com
    63. 63. 12 Lead MetroMedicalDirect.com
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