Current ECG Podcast

On this episode Dave talks about 1st, 2nd and his all time favorite 3rd Degree AV Blocks, as well as Cannon A Waves and the importance of morphology when determining which type of block your patient may be experiencing.

Also In This Episode

• PR Interval, QRS Complex & QT Interval
• AV Blocks
• 1st Degree Block - It's not benign! I'll show you 2 types of patients where it's life threatening
• 1st Degree Block - ECG example
• 2nd Degree Block - Type 1 & Type 2
• 3rd Degree Block - The absolute greatest trick I ever learned for spotting a 3rd degree block without even putting the cardiac monitor on!
• Cannon A Waves
• When trying to differentiate between 2nd or 3rd Degree AV blocks, focus on the morphology of the 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 and resources to help improve your understanding.

Subscribe now at CurrentECG.com

And Stay Current!

On this episode Dave talks about 1st, 2nd and his all time favorite 3rd Degree AV Blocks,  as well as Cannon A Waves and the importance of morphology when determining which type of block your patient may be experiencing.

Also In This Episode

• PR Interval, QRS Complex & QT Interval
• AV Blocks
• 1st Degree Block - It's not benign! I'll show you 2 types of patients where it's life threatening 
• 1st Degree Block - ECG example
• 2nd Degree Block - Type 1 & Type 2 
• 3rd Degree Block - The absolute greatest trick I ever learned for spotting a 3rd degree block without even putting the cardiac monitor on!
• Cannon A Waves
• When trying to differentiate between 2nd or 3rd Degree AV blocks, focus on the morphology of the T waves. 

And Stay Current!

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On this episode Dave talks about how we have hit a wall when it comes to ECG interpretation and how we need to break through that wall by focusing on Morphology.

Also In This Episode

• The Lateral Wall MI, which is notorious for producing really subtle changes but still associated with really bad things on the ECG.
• Electrical Silence - Necrotic tissue & Collateral circulation, & electrode distance from the heart
• The further the electrode is from the heart the smaller the image on the ECG.
• ECG Tracing example
• Sometimes the reciprocal change is more evident than the primary change.
• High Lateral leads and low Lateral leads
• Combining cardiovascular anatomy and physiology with what we see on an ECG.
• ECG Tracing example

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.

Subscribe now at CurrentECG.com

And Stay Current!

On this episode Dave talks about Electrical Conduction which is a basic concept but has several key elements that are often misunderstood.

Also In This Episode

• Electrographic representation of healthy human heartbeat
• Where is the re-polarization of the Atria
• You can't see the electrical conduction system on an ECG
• Is it possible to have the individual cardiac myocytes of a heart not de-polarizing and not contracting but the electrical conduction system working normally?

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.

Subscribe now at CurrentECG.com

And Stay Current!

On this episode Dave talks about Electrical Conduction which is a basic concept but has several key elements that are often misunderstood.

Also In This Episode

• Electrographic representation of healthy human heartbeat
• Where is the re-polarization of the Atria
• You can't see the electrical conduction system on an ECG
• Is it possible to have the individual cardiac myocytes of a heart not de-polarizing and not contracting but the electrical conduction system working normally?

And Stay Current!

Yesterday our system had some issues! Basically a technology STEMI! Please except this bonus episode as a small token of our appreciation for your patience and for sticking with us!

On this episode Dave talks about one of the most important tools we carry as emergency medicine practitioners. Dave shares his personal story of how he learned the value of the stethoscope and the importance of Auscultation.

Also in this episode

• You don't yet know what normal sounds like
• Respiratory Auscultation pattern example
• Listening from the back
• Auscultation is tougher on paediatric patients

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.

Subscribe now at CurrentECG.com

And Stay Current!

Bonus Ep. 9 - What's That Thing Around Your Neck?... The Importance of Auscultation

*The content of Ep.9 has been updated* Dave has made some small but important changes to the content, if you have the previous version of this episode you can kick that one aside and make this version your new best friend. 

** In addition, our website and our podcast platforms had a fight this morning, the video version of episode 9 barged through the door and jump into the podcast feed! It has since been removed. We apologizes for this confusion, the videos are available exclusively in the members area at currentecg.com. Thank you!

On this episode Dave discusses the difference between a Modified 12 lead and a 15 lead, the advantages of the Modified 12 lead and how to use it.

Also in this episode:

• The standard 12 lead placement
• Don't forget to check the back of the heart
• The modified 12 lead placementModified 12 Lead, Right Ventricular damage and No Nitrates
• Modified 12 lead placement example
• Is there value in lead V7?
• Even small ST Segment changes in V4R, V8 & V9 equal big problems
• Remember to label V4R

Connect with Current ECG at CurrentECG.com 

And Stay Current!

*The content of Ep.9 has been updated* Dave has made some small but important changes to the content, if you have the previous version of this episode you can kick that one aside and make this version your new best friend.

** In addition, our website and our podcast platforms had a fight this morning, the video version of episode 9 barged through the door and jump into the podcast feed! It has since been removed. We apologizes for this confusion, the videos are available exclusively in the members area at currentecg.com. Thank you!

On this episode Dave discusses the difference between a Modified 12 lead and a 15 lead, the advantages of the Modified 12 lead and how to use it.

Also in this episode:

• The standard 12 lead placement
• Don't forget to check the back of the heart
• The modified 12 lead placementModified 12 Lead, Right Ventricular damage and No Nitrates
• Modified 12 lead placement example
• Is there value in lead V7?
• Even small ST Segment changes in V4R, V8 & V9 equal big problems
• Remember to label V4R

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.

Subscribe now at CurrentECG.com

And Stay Current!

On this episode Dave talks about electrode placement, limb leads and precordial leads. Cardiac monitoring has advanced to a point where in certain circumstances it may be appropriate to place limb leads on or near a patients torso.

Also in this episode:

• Limb leads: Lead 1,2,3 and augmented vector leads - aVR, aVL, aVF
• Take the bra off so you can properly palpate and place leads correctly.
• Where's the mid-clavicular line really located?
• Placing the precordial leads for a 12 lead interpretation example
• When conducting multiple ECGs ensure the position of your patient is consistent.
• Serial ECGs make bad clinicians good ... and good clinicians great!

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.

Subscribe now at CurrentECG.com

And Stay Current!

On this episode Dave talks about CPR - Cardiopulmonary Resuscitation. As clinicians and emergency medicine practitioners, resuscitation is an important part of our role.

Dave outlines how early defibrillation and quality chest compressions are the corner stone of resuscitation and how chest recoil may be one of the most under appreciated components of resuscitation.

Also in this episode:

• 100-120 compressions within a 60 second period
• Compressions should be 5cm deep
• Minimize pausing and allow for full chest recoil
• CPP - Coronary perfusion pressure
• Systole, Diastole, valve operation and Coronary Ostia

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.

Subscribe now at CurrentECG.com

And Stay Current!