Week 7: Introduction to ECG's
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What does a 12 lead ECG do?
• sees the heart from 12 different views therefore sees what is happening in different portions of the heart
What is the P wave?
Atrial depolarisation
What is QRS?
Ventricular depolarisation
What is T?
Ventricular depolarisation
Why carry out an ECG?
• chest pain • SOB • collapse • falls • cardiac history • seizure • abdominal pain • ROSC
What are some challenges that effect ECG placements?
• amputees • post surgery access to chest • dressings • patient consent • medical conditions
What is one small horizontal box on ECG paper?
0.04 seconds
What is one large horizontal box on ECG paper?
0.20 seconds
What is one large vertical box on ECG paper?
0.5mV
What are the steps of rhythm analysis?
• calculate rate • determine regularity • assess P wave • determine the PR interval • interpret the QRS duration
What are the 2 non-shockable cardiac arrest rhythms?
PEA and asystole
What are the 2 shockable cardiac arrest rhythms?
Pulseless ventricular tachycardia and ventricular fibrillation