21 practice 2

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21 practice 2

  1. 1. 12-Lead Electrocardiography STEMI vs. STE-Mimic Adam Thompson, EMT-P, A.S.
  2. 2. 72 y/o Female Recent Syncope
  3. 3. 72 y/o Female Rate & Rhythm
  4. 4. 72 y/o Female Rate & Rhythm 10 Seconds
  5. 5. 72 y/o Female Rate & Rhythm1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 10 Seconds
  6. 6. 72 y/o Female Rate & Rhythm1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 19 x 6 = 114 10 Seconds
  7. 7. Rate: 11472 y/o Female Rate & Rhythm
  8. 8. Rate: 114 Sinus Tachycardia72 y/o Female Rate & Rhythm
  9. 9. Rate: 114 Sinus Tachycardia72 y/o Female Axis
  10. 10. Cheat Sheet Normal Physiologic Pathologic Right Axis Extreme Indeterminate Axis Left Left Right Axis Axis 0 to 90 0 to -30 -30 to -90 90 to 180 -90 to 180 ?Lead ILead IILead III
  11. 11. Rate: 114 Sinus Tachycardia Frontal Axis: Normal72 y/o Female Axis
  12. 12. Rate: 114 Sinus Tachycardia Frontal Axis: Normal 72 y/o Female Clockwise RotationIntervals & Morphology
  13. 13. Bundle Branch BlocksV1 = RBBBV1 = LBBB
  14. 14. BBB Chart RBBB LBBB IVCD TERMINAL TERMINAL TERMINAL V1 R-WAVE S-WAVE R/S-WAVE TERMINAL TERMINAL Anything isI & V6 possible S-WAVE R-WAVE
  15. 15. Rate: 114 Sinus Tachycardia Frontal Axis: Normal 72 y/o Female Clockwise Rotation LBBBIntervals & Morphology
  16. 16. Rate: 114 Sinus Tachycardia Frontal Axis: Normal72 y/o Female Clockwise Rotation LBBB STE-Mimics
  17. 17. Rate: 114 Sinus Tachycardia Frontal Axis: Normal 72 y/o Female Clockwise Rotation LBBBIschemia, Injury, Infarct
  18. 18. Practice• More practice in the next lesson…

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