www.fastlearnecg.com: Simple reading and Interpreting of a 12-lead ECG (EKG) - Yes you can do it!
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- เผยแพร่เมื่อ 8 ก.ย. 2024
- From the full www.fastlearnecg.com workshop - how to easily review a 12-lead ECG (EKG) with Tutor, Dr Richard Hatchett. The NurseLedClinics website is now all part of this TH-cam channel. Master the simple steps of ECG or EKG interpretation.
It's people like you that make the Internet such a special place. People like you make up for all the nastiness and trolls etc. THANKYOU.
Glad everyone has found the tutorial helpful. Good luck with your interpretation. Richard
I'm a patient but wanted to learn more as i didn't understand my ECG but some of what you said helped but clearly still need to keep learning. Thanks for this video, I liked how it was done, in a step by step approach and good you repeated the protocol everytime, so novices like me could really begin to understand and see the process. If i was younger be very tempted to train.
Very clear, very well explained, extremely helpfully, not just for nurses but for medical students too. Cheers mate.
Thank you very much Mr Hatchett. I wish you could have run more ECG lessons like this one. I am a medical student and through you I have got a good grasp of the ECG. I can say you teach ECG better than even many doctors do.
finally i understood ecg... cant thank you enough.. :-)
Thanks Vicki Bee - you're quite right it's not just nurses and medics who read EKGs/ECGs. This clip was designed for a specific nursing project but proved so popular it's now accessible to all.
Thanks for teaching us the basics of ecg so simple and to the point
I found this to be taught in a logical way that is made easily understandable due to step by step approach and repetition of key points during the video.Compared to many others Ive looked at this is by far the most helpful. Thank you for helping me go from 3 lead to12 lead with a solid understanding of what was taught. However, of course I still need much practicing.
not just for nurses - as a first year medical student, this is pretty useful
Same goes for paramedic students :)
Would be nice to have a pointer/indicator/highlighter to specify what is being discussed at a certain point in time.
Yes, I agree, maybe I'll get the software package for xmas..
Thank you so much for posting. It's clear and easy to understand. Thanks again.
Don't mind me: typing here is just the easiest way to take notes.
Things to Check
- is the patient in sinus rhythm?
-- look at lead 2: if there's 1 p-wave per QRS complex, followwed by T wave, and the PR interval is no longer than1 big square, QRS isn't wider than 3 small squares: so yes, electricity is heading swiftly down the right pathway throught he ventriles
-- WHEN YOU GETVERY HIGH HEART RATES, P-WAVE SOMETIMES IDISSAPEARS MAKING IT HARTD TO TELL
- regular? yes, so long as the QRS complexes are consistently the same distances apart.
----
PR intrval: no larger than 3-5 small swares; if sconsistenyl longer, first degree heart block
QRS: no wider than 3 small squares
Limb leads: if there is a change ain any of these leads, it's refers to that locality. but few changes will occur in onely one lead alone.
- AVL looks at top left of heart: should spike and then dive, being as tall as deep
- AVR looks at top right (Right Atrium): should be inverted
- I looks at lateral part of heart: side of left ventricle: should be positive
- II/AVF/III look at low-down part of the heart, the inferior.:
-- II/III should be positive
Chest Leads: V1-6: from negative to positive
-
Abnormalities
- ST Elevation: QRS complex and T-wavee blur in leads II/III/aVF, so ST segment is elevated above baseline. MI?
- AFIB: a very fast heartrate with a proper QRS (no more thnan 3 squares) means that ventricle is doing it's job so the problem must be atrial
- inverted
-- T-wave: ischemia; if LVH, will present with tall R wave
- height discrepancies
-- lead II R wave > lead one R wave: cardiac axis swinging more to left
-- Super tall R-wave in V4-6: left ventricular hypertropy (over 5 large squares tall)
--- LVH could be healthy if it's an athelete, but HR would have to be low
25mm/s
Thank you! This was short and concise yet explained the essentials!
This is a brilliant video, thank you for sharing it!
I’ve watched tons of videos and this one helped me the most! Thank you
Thank you so much for such a clear and concise explanation, I am a medical student and have really struggled with this until now!
excellent, informative and concise. Many thanks for this.
Watching in 2020 and I have learned so much from this video. This video has given me the confidence in knowing I can finally understand the basics of reading 12 lead ECG’s.... I find understanding axis deviations difficult. I wish there was a part 2 with tracings of more common cardiac diagnosis. Thank you 🙏🏿
Pleasure Rahnesha, it's great to think wherever we are in the world we can share skills. I love ECGs as you can guess. Take care. Richard
@@Nurseledclinics yes you should consider making more videos on 12 lead ECG’s interpretations you have a great teaching style and I would certainly watch them.
Strengths and weaknesses in all healthcare professions - you're all wonderful in my book.
Wow!!! excellent . Thank you so much hope you have more videos on ecg
Thanks so much am about take National Telemetry Exam end of March you made this very less stressful thanks again very helpful.
Thank you from a whole bunch of frustrated first year medical students before their big CV final!
Beautiful! Thanks👏👏👏
Thank you ! This is helpful.
Thank you!
thank you for this video, it has helped me out
On the last EKG, I think it's a 2nd degree AV Block, Type I. Because the PR Intervals are increasing then there's a skipped beat. Otherwise, I really appreciate all your efforts. It made my EKG Interpretation easier and faster. I just need more practice.
Thanks a lot. God bless.
This was very good. Thank you!
thank you so much for putting your effort in this
This is excellent. Thank you so much!!
Nice work
Thanks Jack, I'm impressed, yes slip of the tongue should be 'chest' not 'limb'. Richard
lovely video...Thank you!
Excellent presentation. I have atrial fib trying to learn Anat. and Phys. What would make this presentation more clear to a novice like me, is the use of pointers (red arrows) on the 12 lead strips and/or close ups to isolated the part of the lead about which you are referring. R Walker, M. Ed.
NICE!!!!! Super informative, thanks!
This was amazing, helped me a lot . Thank you!.
Helped a lot!
Thank you so much! This was very helpful!
*Only 18* 👇👇👇
647932.loveisreal.ru
Thank you. Great video
Nice Job Nurseledclinics, a couple of technical things though: "electricity" doesn't head anywhere "current" does, and it doesnt always cause an upward deflection, the deflection depends on whether depolarization or repolarization are occuring and in which direction. For example the T wave is an upward deflection caused by "electricity" moving away from a lead during ventricular repolarization.
Very helpful thank you very much..
VERY PROFESSIONAL.
THANK YOU SIR :)
I wish the S sounds in this video weren't so loud on speakers :(
Must be your speakers. I didn't notice it at all through my Yamaha Powered Studio monitors. Try turning down your treble.
Funny Vicki Bee...I'm a paramedic intern and I've discovered I read 12lead/EKGs more proficiently than some nurses I've encountered.
Excellent
really great
Thanks a lot
No problem Megan, hope it all goes well.
Richard
www.fastlearnecg.com
Thank you
very interesting
thanks for the great video! But when you were explaining regarding avR it wasn't really clear how it was a small R wave and a deep S wave? I could not see an initial positive deflection preceeding the deep, negative deflection. Instead what was visible was a deep negative deflection FIRST, followed by a small positive deflection. In that case shouldn't it be deep Q followed by small R wave instead of small R and deep S? Apologies if this question is rather silly :( This is my first week into ECG interpretation and I could really use the help. Thank you again for this great video!
Nice eye candy while studying. :)
grear ...thanx alot
I think I can possibly argue that the last rhythm strip is 2nd degree type I AV block because P waves marches out and then drops. It is not COMPLETELY disassociated. Any thoughts?
i think the last ecg strip shown depicts a 2nd degree heart block of mobitz type 1( wenchebach)...could be easily seen in the rhythm strip...also there is St depression in the chest leads which depicts ischaemia...please clarify it sir!
when you talked about aVR, it wasn't really clear where R and S waves are.
+Adele B. Hi Adele. AVR is tricky as it is the opposite of lead II. R and S are in the same place as usual but the R wave is tiny and the S wave following immediately after deep, as the impulse heads away from the lead.
For the rhythm at 31:00 he says its a sinus rhythm, but later calls it 3rd degree (or complete heart block) Yes, it is complete heart block. Its NOT sinus rhythm. Yes, there is activity coming from the sinus node, but that does NOT make it a sinus rhythm. The pulse is being generated by the ventricles. Since the ventricles are not receiving an impulse from the atria, they are generating their own impulses.
He doesn’t say the final tracing is in sinus rhythm. He asks the viewer if the tracing is in sinus rhythm and says 'this is debatable' and then says 'yes there is sinus activity''. In 3rd degree heart block there is normal sinus activity and he then explains that it does not pass to the ventricles which you correctly state. This use of word can be debated, as you suggest, as there is regular sinus activity with a rhythm of P waves, but he is very clear that this is not the same as a healthy sinus rhythm. I'm afraid it is debatable and the key here is the viewer gets to understand the tracing's makeup and debates it as we are.
Can't that last strip be a Wenckebach?? Look at how the PRI gets longer and longer until the QRS drops. But then again the p waves and r waves are consistent so it kinda looks like it could be either one...
Hi Dave. No, but it's an easy mistake. Mark off two P waves and move the paper along. You'll see P waves in some QRS complexes - no association. Don't just associate the P wave to the QRS. Also, in second degree heart block (any Mobitz type) the QRS is normal - It isn't here..
Dave Young Youre right when you say the R to R are consistent. there is no dropped beat. There is no coordination between the atria and ventricles, so its complete heart block.
romansten9 You lot Might as well be talking Chinese!! Lol
chest lead placement is wrong?
Why's it always for nurses? I'm a paramedic and I honestly have no idea if our EKG course is the same as a nurse's. I'm also an EKG and Cardiac Technician, which is why I never have any trouble understanding EKG's from nursing school or whatever.
But it seems like they're making paramedics know so much about the EKG and reading it that I really feel slightly offended when lay people assume that only doctors and nurses can help in any emergency situation.
Is it just me, or is the Rhythm strip at the bottom of the 3rd degree av block at around 32min not in the right timing for this ECG? I thought it was standard practice to have all tracings match up....
You are wrong. Take a look at lead V2 and measure the gap between the two complexes, it matches the R to R interval on the rhythm strip. The problem is that it is slow so you only have one complex for most leads.
+Nurseledclinics Thanks for the quick response. The R-R and P-P intervals do match up, however the question was related to the overall position of the rhythm strip and not in comparing rate and regularity. The complexes in the rhythm strip do not line up individually with the other leads. They appear to occur 0.34sec after all other leads. The question was whether this is standard practice on certain EKG machines, or just an error when attempting to simulate a rhythm.
Sometimes the strip won't align exactly. It just gives you a longer set of complexes to work on.
+FastLearnECG The 3rd complex on the rhythm strips seems to match the morphology of the the first complex on lead 2 best. The alignment is more than a slight deviation from exact. The question is not what is a rhythm strip, it's why is this rhythm strip so deviated?
Thanks again. True, but the rhythm strip gives you more complexes and complexes are individually created and may vary slightly.
I see a mobitz type 2 block in your last ecg
No, but it's an easy mistake. Mark off two P waves and move the paper along. You'll see P waves in some QRS complexes - no association. Don't just associate the P wave to the QRS. Also, in second degree heart block (any Mobitz type) the QRS is normal - It isn't here..
no pointer 😥
It's always strange when someone explains the in a video like this. Like how to understand the PQRSTwaves, or how to read rhythms, etc.
A person should already know the basics BEFORE attempting to understand 12 leads. So a video about 12 leads shouldn't unclude this. Its assumed that people learning 12 leads already know the basics. Its mandatory to know the basics before moving on to 12 leads
It should be yes, but sadly not always the case, and a refresher always helps to ensure everyone is on the same page.
The S whistles are so distracting haha
Thank you, this was great!
Thank you!