Current ECG Podcast

In this episode, Dave talks about End-tidal CO2 (EtCO2), and how to use Capnography to better assess and treat your patients.

Also In This Episode:

• What is Capnography?
• Patient Case: 25 YO Male
• When CO2 is not exhaled effectively
• Oxygenation and Ventilation
• 4 phases of EtCO2
• EtCO2 and airway management
• Using EtCO2 during cardiac arrest
• Supporting graphs and stats
• Waveform and EtCO2 examples - What do you think is happening with this patient?
• EtCO2 + COPD - Shark fin pattern
• Waveform examples - troubleshooting
• Head injury
• Patient Case: 25 YO Male - revisit

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On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. Medicus of Houston is a continuing medical education company that specializes in advanced ECG interpretation and instruction.

He is a Board-certified emergency physician, author, speaker, instructor and and internationally-recognized expert in electrocardiography.

Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practiced internal medicine and emergency medicine for over 40 years.

Also In This Episode

• What is a Reciprocal Change?
• The rules of Reciprocal Change
  • Only in the same plane as ST elevation
  • The leads manifesting reciprocal change should be as close to 180 degrees away from the leads with ST elevation as possible.
• ST Elevation / Reciprocal Pairs
• Inferior Epicardial Ischemia with Reciprocal Change
• Basolateral Epicardial Ischemia with Reciprocal Change
• Posterior / Lateral Epicardial Ischemia
• Epicardial Ischemia with Reciprocal Change ECG Tracing example
• An impulse travelling perpendicular to a lead axis cannot be seen in that lead.
• ECG Tracing example
  • Ventricular Aneurysm
• The Problem with Anterior ST Elevation
• LAD Occlusion and Reciprocal Changes
• ECG Tracing examples
  • Acute Pericarditis
• Danger is hiding in Reciprocal changes
• ECG Tracing example
• ECG Tracing example
• Subendocardial Ischemia or Reciprocal Change?
  • ECG Tracing examples of Reciprocal changes
  • ECG Tracing examples of Subendocardial Ischemia
• Six points to remember
• Dave's take-home points

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.

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In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to differentiate between Pseudo PEA and True PEA.

Dr. Hedayati is a practicing Emergency Physician in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department.

Also In This Episode

• Patient Case: 57 YO Male
  • POC Ultrasound
• Pulse checks, are fingers are dumb
• POCUS for Pulse
• FEEL for cardiac activity (Focused Echocardiographic Evaluation in Life support)
• The downside of POCUS
• POCUS in the emergency department
• CASA (Cardiac Arrest Sonographic Assessment)
  • Tamponade
  • RV strain
  • Motion
• PEA Evaluation
• Pressor Infusions vs. Standard ACLS
• PEA Bottom line: POCUS & minimize pauses

Connect with Tarlan Hedayati:

Twitter: @HedayatiMD https://twitter.com/HedayatiMD

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.

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And Stay Current!

In this episode, Dave shares the importance of practicing quality CPR with the goal of being the 'ultimate compressor'.

Also In This Episode:

• Patient case which deteriorates to cardiac arrest-
• • AHA/ILCOR ECC guidelines to begin immediate chest compressions and application of the cardiac monitor with an attempt at defibrillation.
  • Work as a team on the choreography of resuscitation. Ensuring no one provider has a cognitive overload and is able to focus on a specific assigned task.
  • Ensure the provider who is performing the skill of chest compressions is able to focus on the appropriate rate, minimizing pauses, and allowing for complete chest recoil.
  • CPP - Coronary Perfusion Pressure is the key to providing the cardiomyocytes with the sugar, water, oxygen they need to survive by perfusing the coronary ostia and building CPP.
  • Post ROSC care should include maintaining a systolic blood pressure of at least 90mmhg, 02 sats between 94-99%, patient normothermia, 12 lead ECG interpretation and finally working with other health care providers on a coordinated transfer of care.

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.

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In this episode, Dave shares about moving away from the concept of ST-Elevation Myocardial Infarction (STEMI) and focusing on Occlusion Myocardial Infarction (OMI).

Also In This Episode:

• OMI vs. STEMI
• Patient Case: 70 YO Male
• De Winter's T Waves
• ECG Tracing example
• ECG Diagnostic criteria
• ECG Tracing examples
• Review - Patient Case: 70 YO Male
  • Activate Cath Lab
• Take home points

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!

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