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12 Leads Made Easy STEMI Recognition Class Michael D. Murley
12 Leads Made Easy Module 1 – Introduction to 12 Leads Module 2 – Learn to Identify the J Point Module 3 – Learn to identify ST Elevation Module 4 – Lead Views Module 5 – Game for review Module 6 – Putting it all together, STEMI Recognition
Module 1 Intro to 12 Lead Most 12 Leads have this common layout
Module 1 Intro to 12 Lead 4 Columns
Module 1 Intro to 12 Lead 3 Rows
Module 1 Intro to 12 Lead
Module 1 Intro to 12 Lead Practice filling in the Leads
Module 1 Intro to 12 Lead
Module 2 Learn to ID the J Point STEMI
Module 2 Learn to ID the J Point Achieved by obtaining a rapid 12 Lead ECG
Module 2 Learn to ID the J Point While it is possible to identify Myocardial Infarction by clinical presentation,   Lead II = No Clue
Module 2 Learn to ID the J Point We will learn how to: ,[object Object]
 Identify which parts of the ST Segment      	we use for analysis,[object Object]
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point Junction Point or J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point
Module 2 Learn to ID the J Point Now that you know how to find the J Point, let’s learn how to find J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation Don’t compare J Point to the PRI segment, there are medical conditions that my cause PRI depression
Module 3 Learn to ID J Point elevation Your eye wants to compare it to the PRI, but that’s not best reference point
Module 3 Learn to ID J Point elevation The TP segment provides the best baseline to evaluate ST elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation Let’s practice finding the J Point and check for elevation/depression
Module 3 Learn to ID J Point elevation Let’s practice finding the J Point and check for elevation/depression
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3 Learn to ID J Point elevation
Module 3  Review We’re half way there.  In order to recognize STEMI you have to know 2 things ,[object Object]
 Where you are looking (which Lead),[object Object]
Module 4  Lead Views There are many different leads with many different features
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views The heart is not oriented vertically in the chest Left Ventricle is Cone shaped and it rest on the diaphragm Left Ventricle is divided into 5 regions
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views ,[object Object],[object Object]
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views
Module 4  Lead Views The criteria for a STEMI is ST segment elevation in two or more contiguous Leads
Module 4  Lead Views Only for ventricular Leads
Module 4  Lead Views V2 V1 V3 V4 V5 V6
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 5  Review
Module 6  STEMI Recognition Now we know what we are looking for (ST elevation) and where we are looking (Lead views) It’s time to put it all together by taking a step by step approach to reading 12 Lead ECG’s
Module 6  STEMI Recognition Interrupting the 12 Lead requires you to go Lead by Lead, selecting one good representative complex
Module 6  STEMI Recognition Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis
Module 6  STEMI Recognition Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis
Module 6  STEMI Recognition Once you have your complex, find the J Point and determine if ST elevation is present
Module 6  STEMI Recognition Check each Lead, one by one, throughout all the Leads except aVR.  When you’re down, answer this question
Module 6  STEMI Recognition If so, suspect STEMI
Module 6  STEMI Recognition
Module 6  STEMI Recognition Let’s practice
Module 6  STEMI Recognition
Module 6  STEMI Recognition
Module 6  STEMI Recognition
Module 6  STEMI Recognition
Module 6  STEMI Recognition
Congrats!  Let’s practice! Let’s Practice
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Fin
12 Leads Made Easy

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12 Leads Made Easy

Notas del editor

  1. This is one of the most common 12 lead layouts.
  2. It has 4 columns
  3. And 3 rows