This episode features Matt Pigott from Medic Minute with Matt to share his insights about Posterior RCA Occlusions. Also In This Episode Anatomy of the RCA Scenario - 62 Y/O F C/C of nausea Standard 12 lead placement Modified 12 lead Posterior RCA diagnosis LAD Occlusions Anatomy of the LAD Scenario - 58 Y/O m C/C of chest pain Hyperacute T waves Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help...
Mar 09, 2022•22 min
This episode features Matt Pigott from Medic Minute with Matt to share his insights about 12 Lead ECG and Coronary Anatomy. Also In This Episode Before you get started Looking at your 12 Lead How does this reflect Coronary Anatomy? Changes in morphology Perfusion issue Blood flow through the heart Electrical issue Electrolyte issue Cardiac action potential PQRST segment "STEMI mimics" RCA Occlusions 55 y/o patient case example(s) Proximal or Distal? Subscribe to the video version of this podcast...
Jan 26, 2022•24 min
On this episode Dave shares about acute coronary syndrome and some of the important ECG shapes and morphologies that can occur in the very beginnings of the injury to the Cardiomyocytes of your heart. Also In This Episode Abnormally wide T waves ECG Tracing examples Don't get confused with Hyperkalemia Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. Subscribe now at...
Nov 03, 2021•13 min
On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM, to discuss why ST elevation is not always an infarction. Dr. Jones will highlight why we need to think about morphology and shape when interpreting ECGs and why reciprocal changes are just as important as the primary changes and more! 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...
Oct 06, 2021•58 min
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 normal paced rhythm look like? ECG Tracing example Failure to Pace What does a magnet do to a Pacemaker? Failure to Capture ECG Tracing examples Pacemake...
Sep 01, 2021•44 min
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 Activate Cath Lab Take home points Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additio...
Aug 04, 2021•12 min
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 graphs and stats Waveform and EtCO2 examples - What do you think is happening with this patient? EtCO2 + COPD - Shark fin pattern Waveform examples - t...
Jul 07, 2021•29 min
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-recognized expert in electrocardiography. Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practiced internal medicine and ...
Jun 02, 2021•46 min
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 Ultrasound Pulse checks, are fingers are dumb POCUS for Pulse FEEL for cardiac activity (Focused Echocardiographic Evaluation in Life support) The dow...
May 05, 2021•27 min
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 the choreography of resuscitation. Ensuring no one provider has a cognitive overload and is able to focus on a specific assigned task. Ensure the provid...
Apr 07, 2021•23 min
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 Paramedic programs. Brad has worked as a Paramedic in Nova Scotia for 25 years. He also continues to work clinically as a Department Paramedic for the Nova Sc...
Mar 03, 2021•35 min
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 Depolarization - what's happening at the cellular level. You don't want to miss it. What is Hyperkalemia? ECG example Hyperkalemia is a primary cellular problem ...
Feb 03, 2021•25 min
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? STEMI defined ECG families Case example: 63 female Wellen's waves Case example: 66 female STE aVR > V1, STD Diffuse Ask about DAPT Case example: 67 ...
Jan 03, 2021•41 min
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 this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. Subsc...
Dec 02, 2020•16 min
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 lightheadedness, BP 110/60 Hyperkalemia (K+ 9.2) Amiodarone infusion ECG - 42 yo. man with dyspnea and weakness ECG - RRWCT: Severe acidosis (pH < 7.1) ...
Nov 04, 2020•52 min
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 video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your und...
Oct 07, 2020•8 min
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 P and QRS Narrow vs. Wide Regular vs. Irregular History of presenting illness matters ECG Tracing example 1,2,3,4 What's the polarity? LBBB Regular a...
Sep 02, 2020•48 min
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 vs. wide AV Blocks ECG Tracing example 1 1st Degree AV Block 2nd Degree AV Block ECG Tracing example 2 ECG Tracing example 3 3rd Degree Heart Block W...
Aug 05, 2020•57 min
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 example 3,4 ST Segment depression in aVL - reciprocal change ECG Tracing example 5 What about the ST Segment depression in aVR or V1, what does that mean? E...
Jul 01, 2020•13 min
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 heart, an intracavitary lead True trifurcation of the left main ST-Elevation in lead aVR and SD-Depression everywhere else Injury vectors ECG Tracing exa...
Jun 03, 2020•14 min
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 podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. Subscribe no...
May 06, 2020•9 min
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, Shock Cytokine release ECG Tracing examples Risk factors Treatment Subscribe to the video version of this podcast to have access to the visuals that acco...
Apr 07, 2020•16 min
In this episode, Dave talks about VTACH, monomorphic and polymorphic, how to define them and finding the root cause of a rhythm. Also In This Episode Monomorphic VTACH defined Dave's story - When you're following ACLS but the patient doesn't respond as expected ECG Tracing example - wide tachycardia Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. Subscribe now at Cu...
Apr 01, 2020•8 min
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 overdose, so get an ECG early in the clinical course if suspecting the diagnosis. Dave also discusses how sodium bicarbonate works to alter the patients ph...
Mar 22, 2020•38 min
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 and specificity Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and re...
Mar 04, 2020•12 min
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? ECG tracing example #2 ECG tracing example #3 Morphology and reciprocal changes Subscribe to the video version of this podcast to have access to the v...
Feb 05, 2020•10 min
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 involved. Using lead V4R ECG tracing example - Spotting the RVI Lead 3 and V1 have the best view ECG tracing example - V4R What if the back of the heart is...
Jan 01, 2020•15 min
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 practiced internal medicine and emergency medicine for over 40 years. Also In This Episode History of the presenting illness & patient presentation ECG Tr...
Dec 04, 2019•1 hr 2 min
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 does not work on millimetre criteria Trusting your gut Subscribe to the video version of this podcast to have access to the visuals that accompany the au...
Nov 06, 2019•6 min
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 'Polymorphic Ventricular Tachycardia' caused by a 'Long QT'. Watch out and prepare! QT little 'c' which stands for (corrected). What it is correcting...
Oct 02, 2019•13 min
