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

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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?

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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 

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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-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

• How to diagnose real infarctions
• How ischemia damages the cell
• Cells creating electrical current
• How electrical current creates is responsible for ST depression and elevation
• Systolic and Diastolic currents of injury
• How not to confuse subendocardial ischemia with reciprocal change 

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. 

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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
  • Pacemaker X-Ray examples
  • Twiddler's Syndrome 
• Failure to Sense
  • ECG Tracing examples
  • Pacemaker Mediated Tachycardia
  • Runaway Pacemaker
• Magnet in ICD's 
• Review - Look at the ECG
  • Look at the rate?
  • Are there pacer spikes?
  • Are there p's and/or QRS after every spike?
  • Are the spikes appropriate?

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Connect with Tarlan Hedayati: 

Twitter: @HedayatiMD https://twitter.com/HedayatiMD

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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

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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 - troubleshooting
• Head injury
• Patient Case: 25 YO Male - revisit

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. 

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And Stay Current!

.

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 emergency medicine for over 40 years.

Also In This Episode

• What is a Reciprocal Change? 
• The rules of Reciprocal Change
  • Only in the same plane as ST elevation
  • The leads manifesting reciprocal change should be as close to 180 degrees away from the leads with ST elevation as possible.
• ST Elevation / Reciprocal Pairs
• Inferior Epicardial Ischemia with Reciprocal Change
• Basolateral Epicardial Ischemia with Reciprocal Change
• Posterior / Lateral Epicardial Ischemia 
• Epicardial Ischemia with Reciprocal Change ECG Tracing example
• An impulse travelling perpendicular to a lead axis cannot be seen in that lead. 
• ECG Tracing example
  • Ventricular Aneurysm 
• The Problem with Anterior ST Elevation
• LAD Occlusion and Reciprocal Changes
• ECG Tracing examples
  • Acute Pericarditis 
• Danger is hiding in Reciprocal changes
• ECG Tracing example
• ECG Tracing example
• Subendocardial Ischemia or Reciprocal Change?
  • ECG Tracing examples of Reciprocal changes
  • ECG Tracing examples of Subendocardial Ischemia
• Six points to remember
• Dave's take-home points 

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 CurrentECG.com 

And Stay Current!