General Discussion

Bundle Branch Block

• RBBB

• LBBB

• QRS >.12 sec

• Must be identified in Leads V1 & V6

WiLLiaM (LBBB)

• See a "W" in V1

• See an "M" in V6

MoRRoW (RBBB)

• See an "M" in V1

• See a "W" in Lead V6

12 lead EKG

• Allows us to 12 angles of the heart

Limb Leads

• Leads I, II, III

• Einthoven's triangle

Precordial Leads

• Leads V1-V6

Augmented Leads

• aVL

• aVR

• aVF

Inferior wall

• Leads II, II, aVF

Septal Wall

• V1 & V2

Anterior Wall

• V3 & V4

Lateral wall

• Leads I, V5, V6, aVL

Posterior wall

• V7, V8, V9

STEMI

• ST Elevation MI

NSTEMI

• Non-ST elevation MI

WPW (Wolfe-Parkinsons White)

• Have an extra conduction pathway

• Allow more electricity to the muscle

• tachydysrhythmias

• DELTA WAVE (upward slopping of the QRS)

• Shortened PR Interval

• Widened QRS

Hyperkalemia

• Peaked T-waves

• Absent or flattened P-waves

• Widened QRS

Organophosphate Poisoning

1. Atropine

2. 2-pam chloride (Pralidoxime)

Crackles=Rales=Pulmonary Edema

• Left sided HF

• Drownings

• Pneumonia

• Pulmonary Contusion

• Aspiration