ECG interpretation and how to approach every ECG that you are presented with. Classic ECGs that can come up on the day and likely diagnoses relating to these ECG presentations.
Comprehensive guide to interpreting ECGs
Summary
Join Cardiff University alumnus Risma Remsudeen in this on-demand teaching session titled "ECG Interpretation 101." Perfect for medical professionals wanting to brush up on their ECG reading skills, this interactive session covers the basic structure of ECGs, approaches to interpretation, and deep dives into more complex readings. You'll practice with real cases, learn about calibration speed, rhythm, rate, axis, P-waves and more. Don't miss this comprehensive and engaging session that will enhance your confidence and competence in ECG interpretation.
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Description
Learning objectives
- Understand the basic elements of ECG interpretation and execute them in the given scenarios during the session.
- Identify and describe different ECG rhythms, including regular, irregular, regularly irregular and irregularly irregular rhythms.
- Analyze different variables of ECG readings including rate, rhythm, axis, and P waves, as well as interpret abnormalities like P-mitrale, P-pulmonale, prolonged PR interval, and different kinds of Q waves.
- Recognize clinical significance in ST segment shifts, T wave inversions, QT interval elongation, U wave presence, and J wave presence, and correlate these findings with an appropriate clinical condition such as hyperkalemia, PE/MI, hypokalaemia, hypothermia and more.
- Practice interpreting real ECG cases and discuss their findings with the teaching group, aiming to improve individual and peer accuracy in ECG reading.
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Wiggly lines? Scary Electrical lines? Here is a quick comprehensive guide to ECG Interpretation 101 By Risma Remsudeen A+E FY1, BCUHB, North Wales Cardiff University Graduate and Co-founder ISCE101 ECG - basics Practice ECGs More complicated ECGs Today's Practice Cases Agenda How to present in an OSCE Tip: More interactive you are in this session, the more you will get out of it. Grab a paper and pen to scribble things down!oo!Try it yourselfBasic Structure to Follow: 1: Introduction 1.Patient Name, DOB 3. Calibration Speed 25mm/sBasic Structure to Follow: 1: Introduction 2. Rate 60-100 beats per minuteBasic Structure to Follow: 1: Introduction 2. Rate 60-100 beats per minute Method 2: Count number of complexes x 6Basic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm Regular 1. The trend Regularly Irregular 2. Morphology IrregularlyRhythm: Irregular rhythm , irregular morphology (absent P waves) = Irregularly irregular Atrial FibrillationRhythm: regular rhythm , irregular morphology (odd P waves) = Regularly irregular Atrial FlutterTry it yourselfBasic Structure to Follow: 1: Introduction 3. Rhythm 4. AxisBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P wavesP-pulmonale Enlarged R. Atrium (what are the causes?) 5. P wavesP-mitrale Mitral Stenosis – Left Atrial Enlargement 5. P wavesBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P waves, PR IntervalBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P waves, PR Interval 120-200 ms (3-5 small squares) Prolonged PR interval (>0.2 seconds)Basic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P waves, PR Interval, Q waves narrow / broad (0.12s) morphology:Try it yourselfBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P waves, PR Interval, QRS Complex, ST SegmentDigitalis effectBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis 5. P waves, PR Interval, QRS Complex, ST Segment, T waves T Wave Nearly the end of the ECG Complex! Inverted T-wave Tall TeHyperkalaemia PE/MI/BBB/digoxin Bonus Question: What leads is it normal to see inverted T- waves in?QT-interval • Antipsychotics • Amiodarone • TCA • Macrolide • Hypokalaemia, • hypomagnesemia • hypocalcaemiaU Waves= hypokalaemiaJ Waves= hypothermiaBasic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis ST Segment, T waves, QT interval, Ux, Wave/others? 6. Conclude the ECG in your presentation!Basic Structure to Follow: 1: Introduction 2. Rate 3. Rhythm 4. Axis ST Segment, T waves, QT interval, Ux, Wave/others? 6. Conclude the ECG in your presentation!Taken from Life in the Fast line website Case 126 Thank you For further questiEmail:d practice/ resources, theisceseries101@gmail.com risma2205@gmail.com