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RHYTHM RECOGNITION




            ALS Subcommittee 2010
Electrocardiography (ECG)




                       ALS Subcommittee 2010
Electrocardiography (ECG)

RATE
• Sino-atrial node (SA) node - about 70
• Junctional - about 60
• Ventricular - about 40
• Tachycardia - more than 100
• Bradycardia - less than 60


                                    ALS Subcommittee 2010
Electrocardiography (ECG)




• What are the following rhythms?




                                    ALS Subcommittee 2010
RHYTHM 1




Sinus rhythm
                          ALS Subcommittee 2010
RHYTHM 2




Atrial flutter

                            ALS Subcommittee 2010
RHYTHM 3




Atrial tachycardia
                            ALS Subcommittee 2010
RHYTHM 4




Atrial fibrillation
                                 ALS Subcommittee 2010
RHYTHM 5




Unifocal atrial ectopics

                              ALS Subcommittee 2010
RHYTHM 6




Sinus with premature junctional complexes rhythm

                                     ALS Subcommittee 2010
RHYTHM 7




Idioventricular rhythm

                            ALS Subcommittee 2010
RHYTHM 8




Sinus with unifocal premature ventricular complexes

                                       ALS Subcommittee 2010
RHYTHM 9




Sinus with multifocal ventricular complexes

                                      ALS Subcommittee 2010
RHYTHM 10




Sinus rhythm with mutifocal PVCs, bigeminy

                                    ALS Subcommittee 2010
RHYTHM 11




Couplet, unifocal PVCs
                            ALS Subcommittee 2010
RHYTHM 12




Ventricular tachycardia

                             ALS Subcommittee 2010
RHYTHM 13
                       RHYTHM 1




Ventricular Fibrillation
                             ALS Subcommittee 2010
RHYTHM 14




First degree heart block

                           ALS Subcommittee 2010
RHYTHM 15




Second degree heart block
     Morbitz Type I
                            ALS Subcommittee 2010
RHYTHM 16




Second degree heart block
     Morbitz Type I
                            ALS Subcommittee 2010
RHYTHM 17




Second degree heart block
     Morbitz Type II
                            ALS Subcommittee 2010
RHYTHM 18




Complete heart block

                       ALS Subcommittee 2010
RHYTHM 19




Polymorphic Ventricular Tarchycardia
Torsade de pointes
                                   ALS Subcommittee 2010
RHYTHM 20




Paced Ventricular rhythm

                           ALS Subcommittee 2010
RHYTHM 21




Fine ventricular fibrillation

                                ALS Subcommittee 2010
RHYTHM 22




Coarse ventricular fibrillation
                                  ALS Subcommittee 2010
RHYTHM 23




Asystole
                       ALS Subcommittee 2010
THANK YOU
NATIONAL COMMITTEE ON RESUSCITATION TRAINING
  SUBCOMMITEE FOR ADVANCED LIFE SUPPORT

           Dr Tan Cheng Cheng
           Dr Luah Lean Wah
           Dr Ismail Tan bin Mohd Ali Tan
           Dr Wan Nasrudin bin Wan Ismail
           Dr Chong Yoon Sin
           Dr Priya Gill
           Dr Ridzuan bin Dato’ Mohd Isa
           Dr Thohiroh binti Abdul Razak
           Dr Adi bin Osman

                                             ALS Subcommittee 2010

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