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ECG Notes: Interpretation and Management Guide
PALS: Tachycardia With Pulse, Wide-Complex QRS (>0.09 sec) With Poor Perfusion
Table of Contents
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About
Anatomy of the Heart
Atrial Arrhythmias
Calculator - Glasgow Coma Scale - Calculator
Calculator - IV: Calculating infusion rate
Cardizem
Chest Leads
Electrical Conduction System of the Heart
Emergency Medications
General Stroke Care
Junctional Arrhythmias
Methods for Calculating Heart Rate
Obstructed airway
Obstructed Airway: Conscious Adult or Child (1 Yr or Older)
Obstructed Airway: Unconscious Adult (Age of Puberty or Older)
Opioid-Associated Life-Threatening Emergency (Adult)
Physiology of the Heart
Same
Six Easy Steps in Analyzing ECG Strips
Tachycardia
Ventricular Arrhythmias
Basics
Anatomy of the Cardiovascular System
Anatomy of the Cardiovascular System
Arterial Circulation
Blood Vessel Structures
Cardiovascular System-Major Arteries
Cardiovascular System-Major Veins
Venous Circulation
Anatomy of the Heart
Anatomy of the Heart
Coronary Arteries and Veins
Heart Chambers and Great Vessels
Heart Valves
Heart-Anterior Section (Arrows Show Direction of Blood Flow)
Heart-Anterior Surface
Heart-Posterior Surface
Layers of the Heart
Normal Blood Flow Through the Heart
Chest Leads
Chest Leads
Components of an ECG Tracing
ECG Monitoring
Electrode Placement Using a 3-Wire Cable
Electrode Placement Using a 5-Wire Cable
Modified Chest Leads
Recording of the ECG
Stand ard Chest Lead Electrode Placement
The 15-Lead ECG
The Right-Sided 12-Lead ECG
Depolarization and Repolarization
Cardiac Action Potential
Correlation of Depolarization and Repolarization With the ECG Tracing
Depolarization and Repolarization
Progression of Depolarization Through the Heart
The Depolarization Process
The Electrocardiogram (ECG)
Determine the Rhythm
Determine the Rhythm
ECG Interpretation
Irregular
Method 3: ECG Test Strip Heart Rate Calculation
Regular
Electrical Conduction System of the Heart
Conduction System of the Heart
Electrical Conduction System of the Heart
Limb Leads
Augmented Limb Leads
Limb Leads
Stand ard Limb Lead Electrode Placement
Stand ard Limb Leads
Methods for Calculating Heart Rate
Heart Rate in Underlying Rhythm
Method 1: Rapid Heart Rate Calculation-Count Large Boxes
Method 2: Precise Heart Rate Calculation-Count Small Boxes
Method 3: Heart Rate in a 6-Second ECG Rhythm Strip
Methods for Calculating Heart Rate
Pauses-Compensatory or Noncompensatory
Compensatory Pause
Noncompensatory Pause
Pauses-Compensatory or Noncompensatory
Physiology of the Heart
Heart Sounds
Physiology of the Heart
Systolic and Diastolic Phases in the Heart
Six Easy Steps in Analyzing ECG Strips
Six Easy Steps in Analyzing ECG Strips
Step 1: Determine the Heart Rate
Step 2: Determine Regularity of the Rhythm
Step 3: Identify and Examine the P Waves
Step 4: Measure the PR Intervals
Step 5: Measure the QRS Complexes
Step 6: Interpret the ECG Tracing
ECGS
Artifact
60-Cycle Interference
Artifact
Baseline Varies With Respiration
Identifying Features of Arrhythmias
Loose Electrodes
Muscle Artifact
Artificial Cardiac Pacemakers
Artificial Cardiac Pacemakers
Dual-Chamber Pacemaker
Pacemaker Modes
Permanent Pacemaker
Single-Chamber Pacemaker
Temporary Pacemaker
Artificial Cardiac Pacemakers - ECGS
Artificial Cardiac Pacemakers - ECGS
Dual-Chamber Pacemaker Rhythm-Atrial and Ventricular
Pacemaker Failure to Capture
Pacemaker Failure to Sense
Pacemaker Oversensing
Single-Chamber Pacemaker Rhythm-Atrial
Single-Chamber Pacemaker Rhythm-Ventricular
Atrial Arrhythmias
Atrial Arrhythmias
Atrial Fibrillation (A-Fib)
Atrial Flutter (A-Flutter)
Atrial Tachycardia
Multifocal Atrial Tachycardia (MAT)
Paroxysmal Supraventricular Tachycardia (PSVT)
Premature Atrial Contraction (PAC)
Supraventricular Tachycardia (SVT)
Wand ering Atrial Pacemaker (WAP)
Wolff-Parkinson-White (WPW) Syndrome
Atrioventricular (AV) Blocks
Atrioventricular (AV) Blocks
Bundle Branch Block (BBB)
First-Degree AV Block
Second-Degree AV Block-Type I (Mobitz I or Wenckebach)
Second-Degree AV Block-Type II (Mobitz II)
Third-Degree AV Block
Junctional Arrhythmias
Accelerated Junctional Rhythm
Junctional Arrhythmias
Junctional Escape Beat
Junctional Rhythm
Junctional Tachycardia
Premature Junctional Contraction (PJC)
Sinoatrial (SA) Node Arrhythmias
Normal Sinus Rhythm (NSR)
Sinoatrial (SA) Block
Sinoatrial (SA) Node Arrhythmias
Sinus Arrhythmia
Sinus Bradycardia
Sinus Pause (Sinus Arrest)
Sinus Tachycardia
Ventricular Arrhythmias
Accelerated Idioventricular Rhythm
Asystole
Idioventricular Rhythm
Premature Contraction: Interpolated PVC
Premature Ventricular Contraction (PVC)
Premature Ventricular Contraction: Couplets (Paired PVCs)
Premature Ventricular Contraction: Multiform (Different Forms)
Premature Ventricular Contraction: R-on-T Phenomenon
Premature Ventricular Contraction: Uniform (Same Form)
Premature Ventricular Contraction: Ventricular Bigeminy (PVC every 2nd beat)
Premature Ventricular Contraction: Ventricular Quadrigeminy (PVC Every 4th Beat)
Premature Ventricular Contraction: Ventricular Trigeminy (PVC Every 3rd Beat)
Pulseless Electrical Activity (PEA)
Torsade de Pointes
Ventricular Arrhythmias
Ventricular Fibrillation (VF)
Ventricular Tachycardia (VT): Monomorphic
Ventricular Tachycardia (VT): Polymorphic
12-Lead
Electrical Axis Deviation
Ischemia, Injury, and Infarction in Relation to the Heart
Progression of an Acute Myocardial Infarction
R Wave Progression
Right Bundle Branch Block
12-Lead ECG Review
Right Bundle Branch Block
ST Segment Elevation and Depression
Anterior Myocardial Infarction
Inferior Myocardial Infarction
Lateral Myocardial Infarction
Left Bundle Branch Block
Posterior Myocardial Infarction
Primary Causes of ST Segment Depression
Primary Causes of ST Segment Elevation
Septal Myocardial Infarction
ST Segment Elevation and Depression
The Normal 12-Lead ECG
The 12-Lead ECG
Troubleshooting ECG Problems - 12-LEAD
Meds
Emergency Medications
Skills
Emergency Medical Skills
Automated External Defibrillator
Cardioversion (Synchronized)
Carotid Sinus Massage (Vagal Maneuver)
Defibrillation
Emergency Medical Skills
Manual Defibrillation
Transcutaneous Pacing
CPR
CPR: Adult (Age of Puberty or Older)
CPR: Child (1 Yr to Age of Puberty)
CPR: Infant (Younger than 1 Yr)
Healthcare Provider Guidelines for CPR
Obstructed Airway: Conscious Adult or Child (1 Yr or Older)
Clinical Presentation
Obstructed Airway: Conscious Adult or Child (1 Yr or Older)
Obstructed Airway: Conscious Infant (Younger than 1 Yr)
Clinical Presentation
Obstructed Airway: Conscious Infant (Younger than 1 Yr)
Obstructed Airway: Unconscious Adult (Age of Puberty or Older)
Clinical Presentation
Obstructed Airway: Unconscious Adult (Age of Puberty or Older)
Obstructed Airway: Unconscious Child (1 Yr to Age of Puberty)
Clinical Presentation
Obstructed Airway: Unconscious Child (1 Yr to Age of Puberty)
Obstructed Airway: Unconscious Infant (Younger than 1 Yr)
Clinical Presentation
Obstructed Airway: Unconscious Infant (Younger than 1 Yr)
Opioid-Associated Life-Threatening Emergency (Adult)
Clinical Presentation
CPR and Obstructed Airway Positions
Opioid-Associated Life-Threatening Emergency (Adult)
ACLS
ACLS: Acute Coronary Syndrome (ACS)
ACLS: Asystole
ACLS: Bradycardia
ACLS: Pulseless Electrical Activity (PEA)
ACLS: Tachycardia-Unstable
ACLS: Ventricular Fibrillation (VF) or Pulseless Ventricular Tachycardia (VT)
General Stroke Care
Immediate Post-Cardiac Arrest Care
Narrow-Complex Tachycardia-Stable Regular Rhythm
Stroke
Wide-Complex Tachycardia-Stable Regular Rhythm
PALS
PALS: Asystole
PALS: Bradycardia
PALS: Immediate Post-Cardiac Arrest Care
PALS: Pulseless Electrical Activity (PEA)
PALS: Tachycardia With Pulse, Narrow-Complex QRS (<=0.09 sec) With Adequate Perfusion
PALS: Tachycardia With Pulse, Narrow-Complex QRS (<=0.09 sec) With Poor Perfusion
PALS: Tachycardia With Pulse, Wide-Complex QRS (>0.09 sec) With Adequate Perfusion
PALS: Tachycardia With Pulse, Wide-Complex QRS (>0.09 sec) With Poor Perfusion
PALS: Ventricular Fibrillation (VF) or Pulseless Ventricular Tachycardia (VT)
Test Strips
Test Strips
Tools
Abbreviations
Cable Connections
Patient Cable
Patient ECG Record
Troubleshooting ECG Problems
Front Matter
ECG Notes
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