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    The Six Second ECG:: Quick Steps

    Uploaded by

    Irina Panciu Stefan
    This document provides quick steps for analyzing a 6 second ECG: 1) Check for signs of low cardiac output if the heart rate is too fast or too slow. 2) Determine if the QRS is narrow or wide. 3) Examine the P waves for shape, relationship to the QRS, and origin. 4) Check for irregularity or chaos in the rhythm and systematically identify any abnormalities such as different types of AV block or fibrillation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    The Six Second ECG:: Quick Steps

    Uploaded by

    Irina Panciu Stefan
    260 views1 page
    This document provides quick steps for analyzing a 6 second ECG: 1) Check for signs of low cardiac output if the heart rate is too fast or too slow. 2) Determine if the QRS is narrow or wide. 3) Examine the P waves for shape, relationship to the QRS, and origin. 4) Check for irregularity or chaos in the rhythm and systematically identify any abnormalities such as different types of AV block or fibrillation.

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    Ecg

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    Quick Steps 2014

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    This document provides quick steps for analyzing a 6 second ECG: 1) Check for signs of low cardiac output if the heart rate is too fast or too slow. 2) Determine if the QRS is narrow or wide. 3) Examine the P waves for shape, relationship to the QRS, and origin. 4) Check for irregularity or chaos in the rhythm and systematically identify any abnormalities such as different types of AV block or fibrillation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    260 views1 page

    The Six Second ECG:: Quick Steps

    Uploaded by

    Irina Panciu Stefan
    This document provides quick steps for analyzing a 6 second ECG: 1) Check for signs of low cardiac output if the heart rate is too fast or too slow. 2) Determine if the QRS is narrow or wide. 3) Examine the P waves for shape, relationship to the QRS, and origin. 4) Check for irregularity or chaos in the rhythm and systematically identify any abnormalities such as different types of AV block or fibrillation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    The Six Second ECG: Quick Steps

    1. Too fast? Too slow? …check the patient for signs and symptoms of low
    cardiac output.

    2. Is the QRS narrow (supraventricular rhythm) or wide (ventricular


    rhythm)? *

    3. Check the P waves. Check shape and relationship with the QRS (1:1).

    In lead II,
    Upright symmetrical P wave = SA origin
    Peaked, Notched or Biphasic P wave = Atrial origin
    Inverted or absent P wave = Junctional origin

    4. Is the rhythm irregular or completely chaotic**? If irregular, hunt for


    normal first. Then, systematically identify abnormal items.

    AV Blocks

    1st Degree AV Block: long PR Interval Long (>.20 seconds)

    2nd Degree AV Block Type 1: Lonely Ps with repeat cycles of


    progressive lengthening of the PR interval
    nd
    2 Degree AV Block Type II: Lonely Ps with a fixed PR interval

    3rd Degree AV Block: Regular rhythm with a chaotic PR interval

    *note that wide QRS complexes consistently preceded by P waves likely


    form a supraventricular rhythm with aberrant ventricular conduction i.e.
    bundle branch block

    ** If the rhythm is chaotic, think fibrillation. A chaotic rhythm without


    recognizable QRS complexes is likely a ventricular fibrillation or artifact
    while a chaotic rhythm with recognizable QRS complexes is likely atrial
    fibrillation

    Check out www.skillstat.com for a host of learning tools to help you to


    improve your critical care skills.

    2012 SkillStat Learning Inc.

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