Documenti di Didattica
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QUICK REVIEW OF
HEART
Purpose
Pumps blood
Basic Anatomy
4 chambers
2 sides
4 valves
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THE CONDUCTINGY
SYSTEM
SA Node
Inter-nodal
pathway
AV Node
Bundle of HIS
Bundle Branches
Purkinje Fibers
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RELATIONSHIP
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CARDIAC CYCLES
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12 LEAD ECG
Learning objectives:
Electrocardiograph is the
instrument that records the
electrical activity of the heart
Electrocardiogram (ECG) is the
record of that activity
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HOOKING UP THE
12-LEAD ECG
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SKIN PREPARATION
5 STEP METHOD
2 STEP METHOD
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ELECTRODE
PLACEMENT
LIMB LEADS
CHEST LEAD
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LIMB LEADS
Bipolar leads
I II III
Augment leads
Avr Avl Avf
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CHEST LEADS
6 UNIPOLAR
LEADS
V1
V2
V3
V4
V5
V6
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LETS REVIEW
What is an ECG
What are the limb leads?
What are the chest leads?
Why do skin prep?
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12-LEAD ECG LAYOUT
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INFORMATION ON THE
ECG
Patients demographics
Heart rate and measurements
Speed ECG is recorded at
Voltage ECG is recorded at
What the filter is set on
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INFORMATION ON THE
12-LEAD ECG
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WHAT YOU NEED TO
LOOK FOR
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RULING OUT LIMB LEAD
REVERSAL
COLUMN IV
R wave progression
Tall to Small
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LIMB LEADS
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CHEST LEADS
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OTHER PROBLEMS
WITH THE ECG
Artifact
Electrical interference
Somatic tremor
Wandering baseline
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EINTHOVENS TRIANGLE
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ARTIFACT ON THE ECG
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FIND THE ARTEFACT
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WANDERIN BASELINE
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SOMATIC TREMOR
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ELECTRICAL
INTERFERANCE
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BASIC CRITICAL
VALUES
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LOOKING AT THE
RHYTHM
Evaluate the Is the rhythm
rhythm strip at regular or
the bottom of irregular?
the 12-lead for Is there a P
the following wave before
every QRS
complex
Are they any
abnormal beats.
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FINDING THE HEART
RATE
3 METHODS
RATE RULER
COUNTING
BOX METHOD
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BOX METHOD
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ECTOPIC BEATS
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ECTOPIC BEATS
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LETS SUMMARIZE
How do we produce an excellent
12-lead ECG?
Proper skin prep
Correct electrode placement
Recognize and know how to
correct problems
Recognize basic critical values
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