12 Leads. ST Elevation in aVR and V1.

Slides:



Advertisements
Similar presentations
Practice Rhythms Strips
Advertisements

Emergency Medical Response Scenario 1: You Are the Emergency Medical Responder You arrive on the scene where a bicyclist has been struck by a motor vehicle.
Mild Traumatic Brain Injury Andy Jagoda, MD Professor of Emergency Medicine Mount Sinai School of Medicine New York, New York.
Case report 30/09/09 Dr. David Tran A&E departement FVHospital.
L.E.Q. How do you use segment and area models to find the probabilities of events?
The Macstrak Project ER Case Studies The following is a series of case studies to review different patient types and how they are captured on the form.
A New Way to Evaluate NRC Type Patients thru X-Ray Analysis Dr. Robert DeMartino, D.C., Q.N. Master Trainer for NRCT Superior Health Solutions Henderson,
ECG Rhythm Interpretation
An Introduction to the 12 lead ECG
Myocardial Ishcemia and Infarction
Approach to Chest Pain. History “When it comes to chest pain, if you aren’t confident with your diagnosis after your history, take it again” Dr. M. Gamble.
ACS and the 12 Lead ECG. The 12 Lead ECG is at the center of the decision pathway in the management of patients with ischemic chest pain.The 12 Lead ECG.
1st 100 sight words.
ECG Changes in Acute Myocardial Infarction Myocardial Ischemia Symmetrical T wave inversion or elevation and ST segment elevation or depression.
Grammar Power 1 Important Verbs TO BE / TO HAVE.
Differential Diagnosis of Tall R Waves in Lead V1 Eric J Milie, DO.
Emergency Medicine Resident. 1. What is the practical use of this? 30``
BLS ALS TRANSPORT In Whatcom County. Do you need help? 78 y.o. female, GLF, hip pain Patient is lying on her side on the bathroom floor. Gasping Pale.
STEMI Equivalents … an opportunity to save myocardium Susan P. Torrey, MD, FAAEM, FACEP Associate Professor of Emergency Medicine Tufts University School.
The Three Little Pigs. There once was a mother pig. This old mother pig had three little pigs. She loved every pig with her heart. Every pig was in her.
Issues in Trauma Lynne Fulton May 27, Intro No basics My backround “Demanded efficient and thoughful care by other team members” Observing a patient.
Acute Coronary Syndrome What is Acute Coronary Syndrome ? How can I look at an EKG and tell what part of the heart is affected ? What do ICU RNs need to.
EKG Overview.
ECGs: Ischemia and Infarction AFAMS Resident Orientation 26 March 2012.
Reportedly from hospital records: ‘On the second day the knee was better, and on the third day it had disappeared’
Raffle Game , 4.8 Review. Problem 1 Convert to degrees.
Fatima Ryalat, MD Research and Teaching Assistant Physiology Department.
Acceleration Mr. Monroe October 30, Acceleration ~ is the change in rate of volocity.
 Who do you want to introduce/ talk about?  What do you want to talk about?
2 Great resources ECG Pedia
Jackie works for an oil company. She needs to drill a well to an oil deposit. The deposit lies 2300 m below the bottom of a lake, which is 150 m deep.
Personification Human Characteristics. Object and Meaning The microwave timer told me it was time to eat my TV dinner.
Project #2 It is 7:10pm. You are working the evening shift at a community pharmacy. Things have been pretty slow since about 6:30 which is no surprise.
Transport & Retrieval Small Group Session. Learning Objectives At the end of this session participants will be able to: Describe the indications for transfer.
AN INTERESTING ECG DEPARTMENT OF CARDIOLOGY, GRH, MADURAI.
Jose S. Santiago M.D.. Sciatica Sciatica- nerve pain resulting from irritation of the sciatic nerve - the pain starts from the lower back and extends.
Chest Pain in the Emergency Department Junior Teaching C. Brown August 2015.
SFGH Criteria for STEMI Activation
Objectives Review chest pain Define ACS
ECG Rhythm Interpretation
STEMI.
HCS 260 help A Guide to career/Snaptutorial
ST T CHANGES Dr SRIKANTH KV MD DM ( CARDIOLOGY) SENIOR INTERVENTIONAL CARDIOLOGIST Specialist in Heart Failure Narayana Institute of Cardiac Sciences.
1st Grade High Frequency Words
T1: ACS Treatment Tutoring
Practice Rhythms Strips
Elias Hanna, MD, Cardiology
Introduction to the E.C.G.
Volume 98, Issue 5, Pages (November 1990)
Concerning ST Elevations
STEMI Equivalents …an opportunity to save myocardium
Finding angle measures using trigonometry
EKG 101 (Help, I’m a Doctor!) Scott Ewing, D.O. July 5, 2006.
Section A: Introduction
Medical Story-boarding
ECG Rhythm Interpretation
Ms Reid 34 year old, White, female Male child, Mother and child
Elias Hanna, MD, Cardiology
Medical Story-boarding
A Patient With Chest Pain and Hyperacute T Waves
ST ELEVATION Question: what causes acute myocardial infarction?
A 54 year old man with two hours of chest pain.
John M. Yackee, M.D., Reed M. Shnider, M.D., Alan G. Wasserman, M.D. 
ECG – Acute Coronary syndromes
I am a student. We are students. You are a student. You are students. He is a student. She is a student. It is a student. They are students.
Inferior/Posterior MI and 15 Lead ECG
(A) The right precordial leads V1 to V3 in a chest pain patient ultimately diagnosed with AMI. (B) Additional posterior leads V8 and V9 reveal STE, confirming.
What’s your nationality? Where are you from?
New electrode placement ECG from a female, age 57 with acute chest pain, shows abnormal ST elevation in leads 11, 111, aVF, V5, V6: typical findings of.
Hematology Oncology Cases
Presentation transcript:

12 Leads

ST Elevation in aVR and V1

Case Studies

A 57 year old female patient arrives as a Level 2 (Yellow) trauma after she hit a tree in her car. She was belted and her airbags were deployed. GCS was 14 and she does not recall what happened. She was pretty banged up including an open tib-fib fracture. Sixty minutes after arrival she states she is having chest pain and is diaphoretic.

Posterior MI: Diagnosed reciprocally by looking at V1, V2 and/or V3. Look for tall R waves and ST Depression.