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Later. So do you get that ready for later? So we'll get started Oscar E CG at a lecture. Um So a little overview on the station. It actually came up last year at the SY, you have to form an E CG on a patient. And if you report findings back to the examiner, there are some potential follow up questions. Well as a um E CG presentation of a pathological um finding and essentially um you don't actually have to put the electrodes on. They had the patient had a lot, a lot of electrodes on their chest and you just put the um sorry, a lot of the sticky electrodes on and you had to match the wires up to them. So it's not too difficult as long as you're in the positioning, which we'll go over later, it should be fine. So the equipment you need not much, it will be there. E CG trolley machine that will be massive in there. So of E CG electrodes, they'll already be on the patient and a razor which you won't actually need for the actual oy. But ideally, you'd have to remove body hair if you're forming the E CG on a patient exposure. So the patient needs to be at 45 degrees, especially from the waist upwards. And a few old patients will require chaperone as you know, exposure to sensitive parts. So just go for an introduction for you all know how to do it. So this is how you ideally do. It's a little script for you guys and yeah, I'm sure you guys all know how to do this and you have to explain the future to the patient. Um especially um telling them that they're gonna have to be exposure to waste upwards. And this always kind of helps build the patient rapport, which always gives you good marks in the osk exam. So as you see, I kind of wrote a few things for you. Um So just to explain the whole you to um make it very low and um just tell them what's actually going on and also just build that relationship with the patient. That's the whole thing with explaining the procedure. It's all about communication. And um yeah, if anyone just let me know where, where the limb leads are, um If not, we'll just get you through them. I need a little man on the left. I see that's what we'll go through. Um So good new is right, your green bike. So right arm is red, left arm, yellow, uh left, left or ankle green and the right left or ankle black. So essentially R or green B. So it goes from red and it goes clockwise around. Well, anti but depending on how you're looking at it. And yeah, while you're going back, it's a really good new mo to remember this electro replacement. So they're the chess leads and it's really important to know they're positioning. Um Yeah, those are the um anatomical compositions of where they should be and you should know this and you should perform it on patients regularly on your wards and placement. And so after you're done with the patient, after you're done with the procedure, thank the patient, help them get dressed if they require and then we'll need to um two things post procedure. You need to make sure the E CG is labeled correctly. So you know what information should the E CG have? Yeah, that's correct. And anyone else, there's only one person well for answering. Thank you. But yeah, name, date of birth hospital number, date, indication of the E CG and time taken and do offer to document an E CG and sign up with your name and a role if required. Um do bear in mind that they might show you an E CG with some of this information missing. So it's important that um that you, you're aware of what should go on the E CG for the sake of uh for the sake of these examination points. Now, how do we assess an E CG? What should we look out for when interpreting an E CG. I have a definitive list on the next slide, but I'll just wait to see the station's quite short guys. So it won't be too long. And yeah, it's quite simple since you do this quite often on the ward. So yeah, um for me, a passenger should learn how to do it very well. We look, no worries. Oh, so these are the main things you should be looking out for and things you should be commenting on rate and rhythm, the cardiac axis, the P wave pr interval complexes J point of abnormal or J wave that I should say is it ST segment T waves, U waves, QT interval and, and potential differential, differential diagnoses. So the race and rhythm. Um so, so you do it, I like to do the, the second bullet point where you just count the number on the bottom strip but that, that's 10 seconds and multiply that by six and the rhythm just comment on the regularity and um yeah, up on the right believing and reaching rules. So um if it's left axis deviation, the leads at one and two, they'll be leaving each other at the points and right axis deviation, they'll be reaching towards one another. And if it's just, that's just a normal E CG, but the L leaving and reaching rule is really useful in determining left and right axis deviation. It really helps me just in general clinical practice and interpretation. I put a little template at this is all quite hard. So you start, this is it easy trace of X who is an um well, a gentleman date of birth X 10 day at X heart rate is 80 BPM sinus rhythm and the cardiac is normal. View are present with normal morphology. Um pr interval is also normal length complexes are normal and narrow, no anti segment or T wave changes. Wave changes seen can be seen in conclusion this is a normal E CG. So this is a really good template to start your interpretation and do look online at different EC GS and practice interpreting them with one another. So got some quick fire EC GS and just let me know we feel free to just with them a chat or give you some time for anyone who watches the recording. There's one is pericarditis on the left bundle branch block, atrial fibrillation. Yeah. Yeah, I'm sorry, an atrial Flusser in a heart block. This one is a complete heart block. All you guys thank you for attending the lecture. It's quite short, it's quite a short and um short and sweet station but do feel free to email me. My email is right at the front. Ali do Abdul Abdul dash Hussein at um er dot ac.uk or Ama 620 at ic.ac.uk and please fill in the feedback form using the QR code on screen and yeah, thank you so much for attending and let me know if there's any questions in the chat. Just um yeah, do retail. Come on. Yeah, thank you so much. You don't have any questions to put in the chat or? Ok. Well, thank you. That concludes um Yeah, thank you so much for attending and yeah. Um yeah, take care. Goodbye. Hi Ali. I don't think we have any further questions, so I think I'll stop the recording if that's ok. Yeah. Awesome. That sounds good. And then do the meeting to send. Yes, thanks. Thanks. Ok, thank you. Thanks. Take care.