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EKG OVERVIEW PART 2
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ARE WE DONE YET?
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(N)SR with PVCs *Wild and bizarre QRS complex with no P wave, may flip axis *Maybe unifocal (look alike) or multifocal (look Different)
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NSR
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Sinus Brady with Ventricular Bigeminy
*Every other complex is PVC
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Ventricular Fibrillation
Chaotic, Fast, quivering ventricles
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Ventricular Tachycardia
Wide, bizarre, appears regular
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VT to VF V-tach appears ‘regular’ whereas V-fib is chaotic
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“P” Wave Asystole No Ventricular activity
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Non-Capturing Pacemaker
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(N)SR with run of VT & PVC
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V-Tach Regular: regular PRI: NA P-wave: NA QRS: > 0.12sec
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SVT at 210 Regular: regular PRI: NA P-wave: NA QRS: < 0.12sec
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Torsades A twisting of the pointes…
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V-fib
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MAKING THE MOST OF WHAT YOU HAVE
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**STEMI ALERT **
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So many leads, so little time
aVR V1 V4 Lateral LCA - Circumflex Septal LAD - Septal Anterior LAD - Diagonal II aVL V2 V5 Inferior RCA - Posterior III aVF V3 V6
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One mm or one little box is all that is needed
ST Elevation One mm or one little box is all that is needed
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Inferior – can it be Right?
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Is It or Isn’t It?
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Is this bad?
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How about now?
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