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EM Clerkship

How to Read an EKG

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 3 December 2017

⏱️ 10 minutes

🧾️ Download transcript

Summary

Always remember…1, 2, 3, get an old EKG!!! Step 1: Identify the Rate and Rhythm Is it sinus rhythm? P wave before every QRS Is it one of the tachycardias? (Refer to THIS episode) Is it one of the bradycardias? (Refer to THIS episode) Step 2: Look for Signs of Ischemia Most consistent way is […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.aI. Hello, med students. My name is Zach Olson and thank you for downloading

0:50.1

this week's episode of the EM Clerkship Podcast.

0:56.1

We get EKGs on everybody.

1:00.2

If you haven't rotated through a department yet,

1:02.8

you might expect that we're just getting EKGs on patients with chest pain or shortness

1:06.9

of breath.

1:07.7

But in the real world, we order hundreds of EKGs for, it seems like

1:12.4

everything, abdominal pain and weakness and dizziness and vomiting. You name the chief complaint

1:17.7

and our triage is probably getting an EKG on it. And this is a good thing because lots of these

1:24.0

seemingly random chief complaints can actually be the first signs of a heart attack.

1:28.9

Something deadly that we can intervene on if we catch it.

1:33.2

So that's why we're getting that EKG.

1:36.0

But that means that we have to become EKG experts, not cardiology, you.

1:46.3

EKG interpretation is a core skill of emergency medicine doctors.

1:51.7

You need to become excellent at reading EKGs.

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