Posted: 10/14/2016 1:19:51 AM EDT
A nice bread and butter inferior infarct where EMS appropriately withheld nitro. Note the reciprocal depression in avL. A (poor) right-sided EKG was done (mostly because we were all just standing around waiting for the cath lab team to arrive and had time), but the ST elevations in V5R-6R reinforces why we should use caution with nitrates in the setting of an inferior MI. The pt went to the cath lab within 20 minutes of arrival to the ED, door-to-balloon time was something like <40 minutes.  |
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Originally Posted By medicmandan:
We were discussing this in ACLS yesterday. Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12. Should be pretty basic but surprisingly they don't. I work Ed and we're a certified chest pain center. |
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Originally Posted By medicmandan:
We were discussing this in ACLS yesterday. Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12. My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? |
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Originally Posted By Taktiq:
My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? Originally Posted By Taktiq:
Originally Posted By medicmandan:
We were discussing this in ACLS yesterday. Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12. My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? For regular ECGs I like ECGs Made Easy. |
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Originally Posted By Taktiq: My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? Originally Posted By Taktiq: Originally Posted By medicmandan: We were discussing this in ACLS yesterday. Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12. My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? Just my opinion, but I think there's absolutely zero need for 12-lead interpretation to be a part of basic nursing curriculum, or as part of the daily job for most garden variety nurses. Rhythm interpretation, yes, but not 12-lead. It's a frangible skill that only serves those taking care of specialty or high-acuity patients in roles or care areas where you actually see a lot of ECGs. As an ED nurse, I perform or have handed to me more 12-leads in an average shift than a lot of paramedics do. I wouldn't fault your wife over that (unless she really should know better). |
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Originally Posted By medicmandan:
Originally Posted By Taktiq:
Originally Posted By medicmandan:
We were discussing this in ACLS yesterday. Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12. My wife's a nurse (I'm an EMT) and yeah I can attest to this. I'm actually shocked by how much I can do and know vs her. I went through a quick 6hr crash course on EKG at EMSA, but what are some good references would everyone recommend for learning this type of stuff better? For regular ECGs I like ECGs Made Easy. Thanks, I'll have to check that out |
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ACLS used to mean something. Everyone passes now. I spent a long time working on EKGs just for ACLS. I was an instructor back when we failed people left and right and had them come back sunday to remediate and maybe still fail. Excellent teaching point, OP. We would ask---"when might you not give nitrates?" and talk about low BP, cardiogenic shock and inferior MI. |
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