Download the App!

show episodes
 
Welcome to the Current ECG Podcast! You listen to this podcast because you want to advance your ECG Interpretation skills and deliver a higher quality of patient care as a practitioner of Emergency Medicine. This content has been crafted for students and practicing Paramedics, Nurses, Physician Assistants, Physicians, Medical Students at all levels and scopes of practice and Emergency Medicine Educators. You will learn the basics to build a strong ECG foundation and more advanced topics like ...
 
Loading …
show series
 
In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to decipher dysrhythmias in devices such as Pacemakers and ICD's. Dr. Hedayati is a practicing Emergency Physician in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode What does nor…
 
In this episode, Dave shares about moving away from the concept of ST-Elevation Myocardial Infarction (STEMI) and focusing on Occlusion Myocardial Infarction (OMI). Also In This Episode: OMI vs. STEMI Patient Case: 70 YO Male De Winter's T Waves ECG Tracing example ECG Diagnostic criteria ECG Tracing examples Review - Patient Case: 70 YO Male Activ…
 
In this episode, Dave talks about End-tidal CO2 (EtCO2), and how to use Capnography to better assess and treat your patients. Also In This Episode: What is Capnography? Patient Case: 25 YO Male When CO2 is not exhaled effectively Oxygenation and Ventilation 4 phases of EtCO2 EtCO2 and airway management Using EtCO2 during cardiac arrest Supporting g…
 
On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. Medicus of Houston is a continuing medical education company that specializes in advanced ECG interpretation and instruction. He is a Board-certified emergency physician, author, speaker, instructor and and internationally-r…
 
In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to differentiate between Pseudo PEA and True PEA. Dr. Hedayati is a practicing Emergency Physician in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode Patient Case: 57 YO Male POC …
 
In this episode, Dave shares the importance of practicing quality CPR with the goal of being the 'ultimate compressor'. Also In This Episode: Patient case which deteriorates to cardiac arrest- AHA/ILCOR ECC guidelines to begin immediate chest compressions and application of the cardiac monitor with an attempt at defibrillation. Work as a team on th…
 
In this episode, Dave is joined by Brad Reid to discuss Medical Math and how you can be sure that you are making accurate calculations at 3 o'clock in the morning when you are hungry and tired! Brad is an Advanced Care Paramedic in Nova Scotia and currently is the Program Manager for Medavie HealthEd that delivers Primary and Advanced Care Paramedi…
 
In this episode, Dave highlights one some consider to be the ultimate imposter- Hyperkalemia. Hyperkalemia is a life threatening electrolyte abnormality that can be easily missed in the emergency setting, and it is vitally important that we can recognize this by interpreting our patients ECG. Also In This Episode ECG example - Diagnosis Depolarizat…
 
In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss STEMI equivalents: ECG patterns that need the Cath Lab. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode What are STEMI equivalents? S…
 
In this episode, Dave presents on some of the ECG interpretation basics and how to avoid being making incorrect interpretation at 3am when you are hungry and tired. Also In This Episode Interpretation basics Atrial Fibrillation ECG Tracing Example 1 - 3 Turn the volume up on your monitor ECG Tracing Example 4 - 9 Subscribe to the video version of t…
 
In this episode, Dave is joined by Amal Mattu, MD, FAAEM, FACEP, to discuss high risk Arrhythmias. Dr. Mattu is the Professor and Vice Chair, Department of Emergency Medicine, University of Maryland School of Medicine. Also In This Episode Case #1 - 60 yo. woman with weakness Moderate Hyperkalemia Severe Hyperkalemia Case #2 - 45 yo. man with light…
 
In this episode, Dave discusses how it is important as practitioners to understand how blood PH can effect how we manage and treat our patients. Also In This Episode How do we provide oxygen and what is it doing? Oxygen disassociation curve Acidotic environment Alkalotic environment The cells need sugar, water, oxygen to survive! Subscribe to the v…
 
In this episode, Dave is joined by Tarlan Hedayati, MD, to discuss Tachycardia. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode Defining Tachycardia Stable vs. Unstable vs. Cardiac arrest Sinus vs. Not sinus…
 
In this episode, Dave is joined by Tarlan Hedayati, MD, to discuss Bradycardias and Blocks. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode Defining Bradycardia Stable vs. unstable Sinus vs. not sinus Narrow…
 
In this episode, Dave discusses global ST Segment elevation, the flawed line of thinking that leads us to think "it must be Pericarditis", and how to differentiate between Acute Coronary Syndrome and Pericarditis. Also In This Episode Pericarditis - signs and symptoms ECG Tracing example 1 ECG Tracing example 2 Morphology counts! ECG Tracing exampl…
 
In this episode, Dave talks about augmented Vector Right (aVR). Many of us have been told, "Don't bother using lead aVR as part of your interpretation, you can't see anything in lead aVR, it won't give you any useful information." Nothing could be further from the truth. Also In This Episode Lead aVR, the forgotten lead Looking down through the hea…
 
In this episode, Dave tackles the question: What's the difference between a normal Q Wave and a pathological one? Also In This Episode The hexaxial reference grid, the Cabrera system Septal Depolarization A window to the other side of the Heart! Negative deflection Pathological Q wave criteria ECG examples Subscribe to the video version of this pod…
 
In this episode, Dave talks about COVID-19 and some additional information that clinicians and emergency care providers can use to help them identify and manage some of these patients. Also In This Episode ECG Tracing examples What does COVID-19 do to the heart? Not all viruses are the same Systemic inflammatory response Myocarditis: STEMI, HF, Sho…
 
On this episode, Current ECG teams up with Master Your Medics to present a TCA Overdose case! Dave discusses the pathophysiology behind sodium channel blocking medications and how they affect cardiac depolarization at the cellular level. This is important because it affects how we interpret the ECG. Cardiac toxicity can develop quickly in TCA overd…
 
In this episode, Dave talks about the importance of interpreting ECG tracings with a focus on Sensitivity and Specificity on the cardiac monitor. Dave explains what Sensitivity and Specificity is and how it applies to you as a clinician. Also In This Episode Interpreting ECG tracings The psychology of chest pain Cardiac monitor ILCOR Sensitivity an…
 
On this episode Dave talks about collateral circulation, the lateral wall and the importance of understanding cardiovascular and coronary anatomy and physiology when you are interpreting an ECG. Also In This Episode Electrical Silence Changes in the lateral wall appear subtle ECG tracing example #1 Why is there no changes in the low lateral leads? …
 
On this episode Dave talks about the phenomenon of Cancellation of Electrical Forces - when an injury current is travelling to the front of the heart and at the exact same moment an injury current is travelling to the back of the heart. Also In This Episode The importance of recognizing Inferior Wall MI's and knowing if the right ventricle is invol…
 
On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. He is a Board-certified emergency physician, author, speaker, instructor and and internationally-recognized expert in electrocardiography. Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practice…
 
On this episode Dave talks about Millimetres, does size really matter? For years we based our ECG diagnosis of myocardial infarction using a very specific set of millimetre criteria. Times have changed and ECG interpretation is changing too! Also In This Episode Dr. Steven Smith's thoughts on the millimetre measurement of the ST segment Biology doe…
 
On this episode Dave talks about how the QT interval is a big deal and how we should be looking at it each time we perform an ECG. QT Interval - The time from the beginning of the Q wave to the end of the T wave. Also In This Episode Please start looking at the QTc as part of your regular ECG interpretation Torsades de Pointes is a specific form of…
 
On this episode Dave talks about 1st, 2nd and his all time favorite 3rd Degree AV Blocks, as well as Cannon A Waves and the importance of morphology when determining which type of block your patient may be experiencing. Also In This Episode PR Interval, QRS Complex & QT Interval AV Blocks 1st Degree Block - It's not benign! I'll show you 2 types of…
 
On this episode Dave talks about how we have hit a wall when it comes to ECG interpretation and how we need to break through that wall by focusing on Morphology. Also In This Episode The Lateral Wall MI, which is notorious for producing really subtle changes but still associated with really bad things on the ECG. Electrical Silence - Necrotic tissu…
 
On this episode Dave talks about Electrical Conduction which is a basic concept but has several key elements that are often misunderstood. Also In This Episode Electrographic representation of healthy human heartbeat Where is the re-polarization of the Atria You can't see the electrical conduction system on an ECG Is it possible to have the individ…
 
Yesterday our system had some issues! Basically a technology STEMI! Please except this bonus episode as a small token of our appreciation for your patience and for sticking with us! On this episode Dave talks about one of the most important tools we carry as emergency medicine practitioners. Dave shares his personal story of how he learned the valu…
 
*The content of Ep.9 has been updated* Dave has made some small but important changes to the content, if you have the previous version of this episode you can kick that one aside and make this version your new best friend. ** In addition, our website and our podcast platforms had a fight this morning, the video version of episode 9 barged through t…
 
On this episode Dave talks about electrode placement, limb leads and precordial leads. Cardiac monitoring has advanced to a point where in certain circumstances it may be appropriate to place limb leads on or near a patients torso. Also in this episode: Limb leads: Lead 1,2,3 and augmented vector leads - aVR, aVL, aVF Take the bra off so you can pr…
 
On this episode Dave talks about CPR - Cardiopulmonary Resuscitation. As clinicians and emergency medicine practitioners, resuscitation is an important part of our role. Dave outlines how early defibrillation and quality chest compressions are the corner stone of resuscitation and how chest recoil may be one of the most under appreciated components…
 
On this episode Dave talks about the evolution of ECG interpretation, but remember, it starts with our assessment of the patient and how it relates to the ECG and our ability to interpret it. Before you get your hands on the ECG to make your interpretation remember these critically important things: 1. What is the history of the presenting illness?…
 
On this episode Dave talks about lead aVL - Augmented Vector Left. Lead aVL is a game changer! For years we were told that you need to have ECG changes in two or more contiguous leads but not anymore! aVL is such a cool lead because the most stunning first change you will see in the presence of Impending Inferior wall MI is ST depression in lead aV…
 
On this episode Dave highlights Sgarbossa criteria, which helps us to accurately identify STEMI in the presence of a LBBB. Also in this episode: Example of how a LBBB works Rules to apply when diagnosising LBBB on an ECG Example of a normal LBBB Sgarbossa criteria A & B - inappropriate concordance ECG examples of criteria A & B Pacemakers and diagn…
 
On this episode Dave talks about the importance of Oxygen. We know the body and the body's cells need sugar, water and oxygen to survive and as emergency medicine practitioners we have oxygen available to us as a potential treatment for our patients. We need to be aware and careful of the amount of oxygen we give our patients. Did you know that oxy…
 
On this episode Dave talks about how we no longer read ECGs, we interpret them. This is a fundamental concept and we interpret them within the clinical context of our patient. Don't focus on recognizing patterns, you need to understand how to interpret various segments and morphologies. If you see a particular morphology you need to know why it is …
 
Welcome to Current ECG! David Klein is an Advanced Care Paramedic, ECG Morphologist and the Founder of the Current ECG Workshop. David has a passion for ECG Interpretation and how this skill improves the ability to deliver quality patient care as a practitioner of Emergency Medicine. Current ECG was developed to create a direct link between cardiov…
 
Loading …

Quick Reference Guide

Copyright 2021 | Sitemap | Privacy Policy | Terms of Service
Google login Twitter login Classic login