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	<title>Paramedic Notes &#187; ECG</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[<div id="fb-root"></div>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>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>3</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>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/stemi-v4r-to-the-rescue-iwmi-rvmi-pwmi/</guid>
		<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>2</slash:comments>
		</item>
		<item>
		<title>Prehospital 12 Lead ECG: Contiguous and reciprocal lead charts</title>
		<link>http://www.rhmedicclass.com/index.php/prehospital-12-lead-ecg-contiguous-and-reciprocal-lead-charts/</link>
		<comments>http://www.rhmedicclass.com/index.php/prehospital-12-lead-ecg-contiguous-and-reciprocal-lead-charts/#comments</comments>
		<pubDate>Mon, 15 Jun 2009 23:22:00 +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[&#160; Contiguous and reciprocal lead charts Prehospital 12 Lead ECG: Contiguous and reciprocal lead charts See this site for great 12 lead info…(reproduced below) Here are some charts to help you identify and localize acute STEMI on the 12 lead ECG. Contiguous leads What do we mean when we say leads are &#8220;contiguous&#8221;? Contiguous leads [...]]]></description>
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		<slash:comments>4</slash:comments>
		</item>
		<item>
		<title>Intro to 12 Lead EKGs</title>
		<link>http://www.rhmedicclass.com/index.php/intro-to-12-lead-ekgs/</link>
		<comments>http://www.rhmedicclass.com/index.php/intro-to-12-lead-ekgs/#comments</comments>
		<pubDate>Sun, 07 Jun 2009 14:00:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[12 lead]]></category>
		<category><![CDATA[STEMI]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/intro-to-12-lead-ekgs/</guid>
		<description><![CDATA[Dr Bonaris – 12 Lead EKG &#160; The three Is Ischemia Lack of oxygenation to myocardium ST Depression or T wave inversion may or may not result in infarct or Q wave Injury Prolonged ischemia ST elevations (injury pattern) usually results in an infarct may or may not result in a Q wave Infarction Death [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>EKG Interpretation &#8211; Heart Blocks</title>
		<link>http://www.rhmedicclass.com/index.php/ekg-interpretation-heart-blocks/</link>
		<comments>http://www.rhmedicclass.com/index.php/ekg-interpretation-heart-blocks/#comments</comments>
		<pubDate>Mon, 04 May 2009 23:23:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[heart blocks]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/ekg-interpretation-heart-blocks/</guid>
		<description><![CDATA[Andy Rodriguez &#160; First Degree Heart Block Not a true block Conduction delay at AV node All impulses are conducted to ventricles PRI will be &#62;0.20 consistently across the strip Second Degree Heart Block Intermittent Some get through and some don&#8217;t pathology can be in AV node or below in Bundle of His pathology is [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Basic Cardiac Arrythmias -UPDATED</title>
		<link>http://www.rhmedicclass.com/index.php/basic-cardiac-arrythmias/</link>
		<comments>http://www.rhmedicclass.com/index.php/basic-cardiac-arrythmias/#comments</comments>
		<pubDate>Mon, 04 May 2009 17:11:32 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>
		<category><![CDATA[exam review]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/?p=64</guid>
		<description><![CDATA[Download Excel Version Here &#160; Sinus Rhythms Rate Rhythm P waves PRI QRS Name Notes 60-100 Regular Upright, Present, Before every QRS &#60;0.20 Narrow, &#60;0.12 Normal Sinus Rhythm &#60; 60 Regular Upright, Present, Before every QRS &#60;0.20 Narrow, &#60;0.12 Sinus Bradycardia &#62; 100 Regular Upright, Present, Before every QRS &#60;0.20 Narrow, &#60;0.12 Sinus Tachycardia 60 [...]]]></description>
		<wfw:commentRss>http://www.rhmedicclass.com/index.php/basic-cardiac-arrythmias/feed/</wfw:commentRss>
		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>EKG Interpretation 4 &#8211; Ventricular Rhythms</title>
		<link>http://www.rhmedicclass.com/index.php/ekg-interpretation-4-ventricular-rhythms/</link>
		<comments>http://www.rhmedicclass.com/index.php/ekg-interpretation-4-ventricular-rhythms/#comments</comments>
		<pubDate>Sun, 03 May 2009 14:47:00 +0000</pubDate>
		<dc:creator>RH-111</dc:creator>
				<category><![CDATA[Cardiology]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[EKG]]></category>

		<guid isPermaLink="false">http://www.rhmedicclass.com/index.php/ekg-interpretation-4-ventricular-rhythms/</guid>
		<description><![CDATA[Andy Rodriguez Ventricular Rhythms Impulse is generated in the ventricles. Generally recognized by wide QRS complex, &#62;0.12 &#160; Premature Ventricular Contraction (PVC) Regular – ectopics will interrupt Rate – depending on underlying rhythm No P wave before PVC Wide QRS &#62;0.12 &#160; Compensatory Pause Allows for heart pick up its rhythm again after a PVC, [...]]]></description>
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		<slash:comments>0</slash:comments>
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