h34r:
h34r: jk I'll take a look at it
No work on be truck while I'm home for break and no skiing for a month.
Grade 1 MCL sustained on an epic day at Wolf Creek on Sunday.
I'm really glad that Christopher responded to the thread though. I think I am pretty good with 12-leads right now, but need to improve with rhythms. I am nailing these 12-leads in ECG for Emergency Physician Part 1 no problem. Particularly I find aflutter, vtach, and svt with aberrancy to be difficult rhythms for me. The aflutter I've been lucky on admittingly when I see a fast narrow complex tachycardia, I just consider: ST, SVT, or aflutter, and usually look at the inferior leads for flutter waves and V1 for peakish t-waves. Also my first thought will be aflutter if the HR is >130 (although it can be faster or slower, there were some in the book with aflutter at a HR around 80), and usually my gut feeling "this one looks hard... must be aflutter", lol. I also didn't know about different variations on VT like RVOT, which looked very bizarre to me. To me, VT usually looks like an upside down shark tooth to me usually, lol. The latest 12-lead on ems12lead, I didn't feel comfortable with Sasaki's rule... I didn't even know where to start with it. Only thing I felt I would have done right with that ECG is the rate, the axis, and the mentality of "vtach until proven otherwise". I like that Harvard ECG Wave Maven website Christopher showed. I am gonna continue practicing 12-leads daily, but would like to focus more on my weakness and practice some of those VT criteria like Sasaki's rule (even though I think Dr. Smith and TomB have already said there is no one rule that is good/you can rely on).
