23 practice 4

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23 practice 4

  1. 1. 12-Lead Electrocardiography STEMI vs. STE-Mimic Adam Thompson, EMT-P, A.S.
  2. 2. 76 y/o FemaleShortness of Breath
  3. 3. 76 y/o Female Rate & Rhythm
  4. 4. 76 y/o Female Rate & Rhythm1 2 3 4 5 6
  5. 5. 76 y/o Female Rate & Rhythm1 2 3 4 5 6 7 8 9 10 11 12 13
  6. 6. 76 y/o Female Rate & Rhythm1 2 3 4 5 6 7 8 9 10 11 12 13 13 x 10 = 130
  7. 7. Rate: 133 Sinus Tachycardia76 y/o Female Axis
  8. 8. Rate: 133 Sinus Tachycardia 76 y/o Female Axis Lead I aVFNormal Positive (+) Positive (+) RAD Negative (-) Positive (+) LAD Positive (+) Negative (-)ERAD Negative (-) Negative (-)
  9. 9. Rate: 133 Sinus Tachycardia Normal Axis76 y/o Female Axis
  10. 10. Rate: 133 Sinus Tachycardia Normal Axis 76 y/o FemaleIntervals & Morphology
  11. 11. Rate: 133 Sinus Tachycardia Normal Axis 76 y/o FemaleIntervals & Morphology
  12. 12. Rate: 133 Sinus Tachycardia Normal Axis76 y/o Female STE-Mimics
  13. 13. Rate: 133 Sinus Tachycardia Normal Axis 76 y/o Female STE-MimicsE - Electrolytes (hyperkalemia)
L - LBBB
E - Early repolarizationV - Ventricular hypertrophy (LVH)
A - Aneurysm
T - Treatment (e.i. pericardiocentesis)
I - Injury (AMI, contusion)
O - Osborne waves (hypothermia)
N - Non-occlusive vasospasm
  14. 14. Rate: 133 Sinus Tachycardia Normal Axis 76 y/o FemaleIschemia, Injury, Infarct
  15. 15. Rate: 133 Sinus Tachycardia Normal Axis76 y/o Female
  16. 16. Rate: 133 Sinus Tachycardia Normal Axis 76 y/o Female Infero-Posterior & Lateral MI Ischemia, Injury, InfarctB
  17. 17. The ECG CourseThat’s it…You’re now a certified ECG Ninja.

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