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	<title>Paramedic Class Notes &#187; EKG</title>
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	<link>http://www.rhmedicclass.com</link>
	<description>I started his blog while in the Paramedic Class in order to share my class notes. I’ve since graduated and now hope to post regularly with articles I find interesting as well as call anecdotes and reviews. Comments always welcome.</description>
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		<title>So many leads, which to monitor?</title>
		<link>http://www.rhmedicclass.com/index.php/so-many-leads-which-to-monitor/</link>
		<comments>http://www.rhmedicclass.com/index.php/so-many-leads-which-to-monitor/#comments</comments>
		<pubDate>Tue, 27 Jul 2010 20:24:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Assessment]]></category>
		<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[12 lead]]></category>

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		<description><![CDATA[I’ve read many opinions over time about which EKG leads we should be monitoring and I’d concluded that my best 3 to monitor are II, aVL &#038; aVF as the 3 that give the best all around picture of what’s going on. I’ve seen many medics that have their lifepak 12 set to monitor II, [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Pediatric EKG Differences</title>
		<link>http://www.rhmedicclass.com/index.php/pediatric-ekg-differences/</link>
		<comments>http://www.rhmedicclass.com/index.php/pediatric-ekg-differences/#comments</comments>
		<pubDate>Mon, 19 Jul 2010 21:06:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Assessment]]></category>
		<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[Paramedic]]></category>

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		<description><![CDATA[I came across this great article focusing on ECG differences seen with pediatric patients. This is quite important to really know as something as simple as a normal PR interval for an adult could signify a AV block in a child. Electrocardiogram (ECG) interpretation usually is taught in courses that focus on adults. For those [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What is this EKG?</title>
		<link>http://www.rhmedicclass.com/index.php/what-is-this-ekg/</link>
		<comments>http://www.rhmedicclass.com/index.php/what-is-this-ekg/#comments</comments>
		<pubDate>Tue, 11 May 2010 12:34:13 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>

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		<description><![CDATA[Can anyone tell me what this EKG is? Vfib in lead II and NSR in lead III? Checked all leads and no patient movement. Patient was an 87 y/o female nursing home patient, unresponsive in respiratory failure secondary to pneumonia. Related Posts:Respiratory &#8211; Review QuestionsEKG Interpretation 4 &#8211; Ventricular RhythmsNormal deflection of ECG leads &#8211; [...]]]></description>
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		<slash:comments>8</slash:comments>
		</item>
		<item>
		<title>Transcutaneous Pacing</title>
		<link>http://www.rhmedicclass.com/index.php/transcutaneous-pacing/</link>
		<comments>http://www.rhmedicclass.com/index.php/transcutaneous-pacing/#comments</comments>
		<pubDate>Mon, 01 Mar 2010 18:09:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[TCP]]></category>
		<category><![CDATA[Pacing]]></category>

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		<description><![CDATA[Great article here: http://ems12lead.blogspot.com/2008/11/transcutaneous-pacing-tcp-problem-of_15.html Some highlights from the end: Here are some clinical pearls to get you through the procedure. • The most common cause of failure with transcutaneous pacing (TCP) is poor pad placement combined with insufficient milliamperes! Remember, the pacer goes up to 200 mA! If you lose your nerve at between 70-90 [...]]]></description>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Discordant ST-Segment Elevation in LBBB or Paced Rhythm</title>
		<link>http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/</link>
		<comments>http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/#comments</comments>
		<pubDate>Thu, 11 Feb 2010 21:01:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[12 lead]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/discordant-st-segment-elevation-in-lbbb-or-paced-rhythm/</guid>
		<description><![CDATA[Some great new blog posts over at EMS 12 Lead Discordant ST-Segment Elevation in LBBB or Paced Rhythm The Six Step Method for 12-Lead ECG Interpretation &#34;New&#34; LBBB &#8211; What&#8217;s the big deal? Identifying AMI in the presence of LBBB &#160; Relates well the the Tim Phalen lecture we had on 12 Lead EKGs. Good [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Normal deflection of ECG leads &#8211; reviewed</title>
		<link>http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/</link>
		<comments>http://www.rhmedicclass.com/index.php/normal-deflection-of-ecg-leads-reviewed/#comments</comments>
		<pubDate>Mon, 04 Jan 2010 20:59:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>

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		<description><![CDATA[Been a while since we did cardiology so I wanted to do a quick review on the normal deflections you should expect to find in each lead of an EKG Limb Leads Lead I – Looks across top of heart with positive electrode at left arm &#8211; so QRS complexes are upright but not that [...]]]></description>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Nitrates and o2 in an AMI</title>
		<link>http://www.rhmedicclass.com/index.php/nitrates-and-o2-in-an-ami/</link>
		<comments>http://www.rhmedicclass.com/index.php/nitrates-and-o2-in-an-ami/#comments</comments>
		<pubDate>Wed, 18 Nov 2009 20:40:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[STEMI]]></category>

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		<description><![CDATA[According to the AHA, Nitrates should not be given both to someone with a systolic of less than 90 OR 30 or more points below their normal baseline!! (Also severe bradycardia &#60;50BPM or Tachycardia &#62;100BPM) This obviously makes sense, as someone with a normal BP of 160 needs close to that 160 to maintain adequate [...]]]></description>
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		<slash:comments>4</slash:comments>
		</item>
		<item>
		<title>STEMI &#8211; V4R to the rescue &#8211; IWMI &#8211; RVMI &#8211; PWMI</title>
		<link>http://www.rhmedicclass.com/index.php/stemi-v4r-to-the-rescue-iwmi-rvmi-pwmi/</link>
		<comments>http://www.rhmedicclass.com/index.php/stemi-v4r-to-the-rescue-iwmi-rvmi-pwmi/#comments</comments>
		<pubDate>Mon, 16 Nov 2009 02:59:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[12 lead]]></category>
		<category><![CDATA[STEMI]]></category>

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		<description><![CDATA[Doing rotations on 27v out of Montefiore and had this patient: 69 yea old female – chest pain x 7 hours started after grandson was taken in by EMS due to a febrile seizure. Pt has history of multiple stents placed a few years ago out of the country, no follow up care since then. [...]]]></description>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>12 Lead EKG in ACS</title>
		<link>http://www.rhmedicclass.com/index.php/12-lead-ekg-in-acs/</link>
		<comments>http://www.rhmedicclass.com/index.php/12-lead-ekg-in-acs/#comments</comments>
		<pubDate>Tue, 13 Oct 2009 23:36:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[STEMI]]></category>

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		<description><![CDATA[Tim Phalen – 10/13/09 STEMI vs. Non STEMI – STEMI is ultimate candidate for reperfusion therapy – non STE-MI – much higher mortality rate. Is the early part of the ST segment elevated – 1mm elevated at beginning – at J point only (J point elevation) Pick one good segment – pick one where T-P [...]]]></description>
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		<slash:comments>2</slash:comments>
		</item>
		<item>
		<title>Causes of PEA</title>
		<link>http://www.rhmedicclass.com/index.php/causes-of-pea/</link>
		<comments>http://www.rhmedicclass.com/index.php/causes-of-pea/#comments</comments>
		<pubDate>Thu, 25 Jun 2009 02:02:09 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>

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		<description><![CDATA[Pulseless Electrical Activity (PEA) Treat the cause first!&#160; &#160;&#160; Causes:&#160; Remember 5 “H&#8217;s” and 5 “T&#8217;s” Hypoxia*&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Tension Pneumothorax&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Hypovolemia*&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Tamponade (Cardiac) Hypothermia&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Tablets (drug overdose)&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Hyper/hypokalemia&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Thrombosis, coronary (ACS) Hydrogen ion -acidosis&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Thrombosis, pulmonary (embolism)&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; *Most common causes&#160;&#160;&#160;&#160;&#160; &#160;&#160;&#160; Algorithm “P-E-A”: Possible causes-always give 500 cc bolus of fluid since hypovolemia is common cause. [...]]]></description>
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