EMTLife.com - The #1 Online Forum for EMS-Related Discussion  

Go Back   EMTLife.com - The #1 Online Forum for EMS-Related Discussion > Main EMS Forum > ALS Discussion

ALS Discussion For all that stuff specifically related to ALS including EMT-I and EMT-P related discussion.

Reply
 
Thread Tools Search this Thread Display Modes
Old 03-21-2010, 12:58 PM   #1
WuLabsWuTecH
Forum Deputy Chief
 
Join Date: Mar 2008
Location: Columbus, OH (Worthington)
Posts: 1,212
Training: EMT-B, MED-1
EKG Rhythm Flowchart?


Hey everyone!

Long time no see! I'm working on studying for my EKG Rhythms test on Friday, and I'm having a lot of trouble remembering all the traits of the rhythms.

For the exam, I'll need to be able to go forwards (see this strip, name the rhythm) and backwards (here's the name of the rhythm, tell me the characteristics you would see in a typical arrhythmia of this type).

I can probably just brute force memorize the backwards, but for the forwards, I was thinking of making a flow chart to be more efficient than running through a million rhythms.

Before I go reinventing the wheel though, does anyone know of a good flowchart (either available online for free or that I can pick up in a bookstore)? I'm willing to pay for it, but I have an A in my physics/cardiology class right now (98% actually woohoo!) and I'd like to keep it that way!

Thanks in advance for any help you can offer!

-Wu


__________________
Let's Roll!
WuLabsWuTecH is offline   Reply With Quote

Old 03-21-2010, 01:03 PM   #2
MrBrown
Forum Deputy Chief
 
Join Date: Jul 2009
Posts: 3,929
In reality it's just rote memorisation and understanding.

I can get a two second look at a strip and go "yeah ok looks normal, move on" or "hmm that looks strange, lets have a nosey".

We are taught:

- P waves; present, absent, inverted etc?
- PR interval; long or short?
- QRS; narrow? wide? absent? pathologic Q waves? etc
- ST segment; normal? depressed? inverted?
- Rate 1500 or 300 method; regular or irregular?
- Identify the rhythm

Things like PVCs can be picked up pretty easy, as can an irregular rhythm but I have to go looking for this PAC or PJC. You can then look at R-R interval and things like that for blocks.

For a 12 lead you also look at reciprocal leads.

It's much harder to go backwards than forwards I find, which for me works out OK, I just repeat the same mistakes over and over!
MrBrown is offline   Reply With Quote
Old 03-21-2010, 11:51 PM   #3
Dominion
Forum Asst. Chief
 
Dominion's Avatar
 
Join Date: Feb 2008
Location: Louisville, Ky
Posts: 607
Training: Paramedic
Send a message via AIM to Dominion
There is a good 'flow chart' in Dale Dubins EKG book, might want to give that a looksie.
Dominion is offline   Reply With Quote
Old 03-22-2010, 09:41 AM   #4
fma08
Forum Asst. Chief
 
fma08's Avatar
 
Join Date: Mar 2008
Location: The arctic (at least that's what it feels like in winter...)
Posts: 830
Training: (former EMT-P),MSIII
Similar to MrBrown, we were taught:

(assuming you are talking about the basic rhythms of the 3 lead)

P waves- there? not there? weird looking?
PRI- long? variable? short? not able to determine?
QRS- Wide or narrow?
Rate- Fast? Slow? Normal?
Regularity- Regularly regular, eg. NSR, SVT? regularly irregular eg. Mobitz II, P_C's? irregularly irregular (A-fib)?

Practice practice practice and NEVER EVER EVER memorize how a rhythm "looks", you'll get bit in the @$$ if you do. Take the time to analyze each part of each rhythm and make a determination from that.
__________________
"Now we gotta make the best of it, improvise, adapt to the environment, Darwin, stuff happens, I Ching, whatever man we gotta roll with it"
fma08 is offline   Reply With Quote
Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Question about a rhythm awhiting ALS Discussion 9 11-08-2008 08:32 PM
WTH at this rhythm (56K, no) jedirye ALS Discussion 17 07-04-2008 02:21 PM
Name the Rhythm II mikeylikesit ALS Discussion 13 06-22-2008 02:34 AM
Name the Rhythm mikeylikesit ALS Discussion 20 06-20-2008 01:21 AM
Guess the Rhythm mikeylikesit Suggestions, Feedback & Forum Questions 5 06-15-2008 03:36 PM


All times are GMT -4. The time now is 01:11 PM.


Powered by vBulletin
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright 2001-2014, EMTLife LLC. All rights reserved.