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         Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools...

This episode features Matt Pigott from Medic Moment 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?   Subscribe to the video version...

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    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.  ...

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...

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...

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   Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as...

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...

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...

In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to differentiate between Pseudo PEA and True PEA. 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 Patient Case: 57 YO Male POC Ultrasound Pulse checks, are fingers are dumb POCUS for Pulse FEEL for cardiac activity (Focused Echocardiographic Evaluation in Life...

In this episode, Dave shares the importance of practicing quality CPR with the goal of being the 'ultimate compressor'.  Also In This Episode: Patient case which deteriorates to cardiac arrest- AHA/ILCOR ECC guidelines to begin immediate chest compressions and application of the cardiac monitor with an attempt at defibrillation. Work as a team on the choreography of resuscitation. Ensuring no one provider has a cognitive overload and is able to focus on a specific assigned task. Ensure...

In this episode, Dave is joined by Brad Reid to discuss Medical Math and how you can be sure that you are making accurate calculations at 3 o'clock in the morning when you are hungry and tired! Brad is an Advanced Care Paramedic in Nova Scotia and currently is the Program Manager for Medavie HealthEd that delivers Primary and Advanced Care Paramedic programs. Brad has worked as a Paramedic in Nova Scotia for 25 years. He also continues to work clinically as a Department Paramedic for the...

In this episode, Dave highlights one some consider to be the ultimate imposter- Hyperkalemia. Hyperkalemia is a life threatening electrolyte abnormality that can be easily missed in the emergency setting, and it is vitally important that we can recognize this by interpreting our patients ECG.  Also In This Episode ECG example - Diagnosis  Depolarization - what's happening at the cellular level. You don't want to miss it. What is Hyperkalemia? ECG example Hyperkalemia is a primary cellular...

In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss STEMI equivalents: ECG patterns that need the Cath Lab. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department.  Also In This Episode What are STEMI equivalents? STEMI defined ECG families Case example: 63 female Wellen's waves Case example: 66 female STE aVR > V1, STD Diffuse Ask about DAPT ...

In this episode, Dave presents on some of the ECG interpretation basics and how to avoid being making incorrect interpretation at 3am when you are hungry and tired.   Also In This Episode Interpretation basics Atrial Fibrillation ECG Tracing Example 1 - 3 Turn the volume up on your monitor ECG Tracing Example 4 - 9   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...

In this episode, Dave is joined by Amal Mattu, MD, FAAEM, FACEP, to discuss high risk Arrhythmias. Dr. Mattu is the Professor and Vice Chair, Department of Emergency Medicine, University of Maryland School of Medicine.   Also In This Episode Case #1 - 60 yo. woman with weakness Moderate Hyperkalemia Severe Hyperkalemia Case #2 - 45 yo. man with lightheadedness, BP 110/60 Hyperkalemia (K+ 9.2) Amiodarone infusion ECG - 42 yo. man with dyspnea and weakness ECG - RRWCT: Severe...

In this episode, Dave discusses how it is important as practitioners to understand how blood PH can effect how we manage and treat our patients. Also In This Episode How do we provide oxygen and what is it doing? Oxygen disassociation curve Acidotic environment Alkalotic environment The cells need sugar, water, oxygen to survive!   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...

In this episode, Dave is joined by Tarlan Hedayati, MD, to discuss Tachycardia. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department.  Also In This Episode Defining Tachycardia Stable vs. Unstable vs. Cardiac arrest Sinus vs. Not sinus  P and QRS Narrow vs. Wide Regular vs. Irregular History of presenting illness matters ECG Tracing example 1,2,3,4 What's the polarity? LBBB...

In this episode, Dave is joined by Tarlan Hedayati, MD, to discuss Bradycardias and Blocks. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department.  Also In This Episode Defining Bradycardia Stable vs. unstable Sinus vs. not sinus Narrow vs. wide AV Blocks ECG Tracing example 1 1st Degree AV Block  2nd Degree AV Block ECG Tracing example 2 ECG Tracing example 3 3rd Degree...

In this episode, Dave discusses global ST Segment elevation, the flawed line of thinking that leads us to think "it must be Pericarditis", and how to differentiate between Acute Coronary Syndrome and Pericarditis. Also In This Episode Pericarditis - signs and symptoms ECG Tracing example 1 ECG Tracing example 2 Morphology counts!  ECG Tracing example 3,4 ST Segment depression in aVL - reciprocal change ECG Tracing example 5 What about the ST Segment depression in aVR or V1, what does that...

In this episode, Dave talks about augmented Vector Right (aVR). Many of us have been told, "Don't bother using lead aVR as part of your interpretation, you can't see anything in lead aVR, it won't give you any useful information." Nothing could be further from the truth. Also In This Episode Lead aVR, the forgotten lead Looking down through the heart, an intracavitary lead True trifurcation of the left main ST-Elevation in lead aVR and SD-Depression everywhere else Injury vectors ECG...

In this episode, Dave tackles the question: What's the difference between a normal Q Wave and a pathological one?  Also In This Episode The hexaxial reference grid, the Cabrera system Septal Depolarization A window to the other side of the Heart! Negative deflection  Pathological Q wave criteria  ECG examples   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...

In this episode, Dave talks about COVID-19 and some additional information that clinicians and emergency care providers can use to help them identify and manage some of these patients. Also In This Episode ECG Tracing examples What does COVID-19 do to the heart? Not all viruses are the same Systemic inflammatory response  Myocarditis: STEMI, HF, Shock  Cytokine release ECG Tracing examples Risk factors Treatment   Subscribe to the video version of this podcast to have access to the...

In this episode, Dave talks about VTACH, monomorphic and polymorphic, how to define them and finding the root cause of a rhythm. Also In This Episode Monomorphic VTACH defined  Dave's story - When you're following ACLS but the patient doesn't respond as expected ECG Tracing example - wide tachycardia   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.  ...

On this episode, Current ECG teams up with Master Your Medics to present a TCA Overdose case! Dave discusses the pathophysiology behind sodium channel blocking medications and how they affect cardiac depolarization at the cellular level. This is important because it affects how we interpret the ECG.  Cardiac toxicity can develop quickly in TCA overdose, so get an ECG early in the clinical course if suspecting the diagnosis. Dave also discusses how sodium bicarbonate works to alter the...