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    12 Lead ECG Review: Dana Yost, Senior Paramedic Paramedic Training King County, WA

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    Jamie Lynn Morgan
    Dana Yost is a senior paramedic and 12-lead ECG instructor who has been teaching paramedic training for 13 years. The document provides an overview of 12-lead ECG interpretation including lead placement, identifying underlying rhythms or imitators, systematically analyzing ST segments and T waves to determine infarction or ischemia, and localizing the involved coronary artery. The presentation emphasizes looking at ECG patterns methodically to diagnose acute coronary syndromes.

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    12 Lead ECG Review: Dana Yost, Senior Paramedic Paramedic Training King County, WA

    Uploaded by

    Jamie Lynn Morgan
    257 views23 pages
    Dana Yost is a senior paramedic and 12-lead ECG instructor who has been teaching paramedic training for 13 years. The document provides an overview of 12-lead ECG interpretation including lead placement, identifying underlying rhythms or imitators, systematically analyzing ST segments and T waves to determine infarction or ischemia, and localizing the involved coronary artery. The presentation emphasizes looking at ECG patterns methodically to diagnose acute coronary syndromes.

    Original Description:

    Dana Yost, Senior Paramedic The "SUMMIT" Salt Lake City

    Original Title

    Review 2013

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    Dana Yost is a senior paramedic and 12-lead ECG instructor who has been teaching paramedic training for 13 years. The document provides an overview of 12-lead ECG interpretation including lead placement, identifying underlying rhythms or imitators, systematically analyzing ST segments and T waves to determine infarction or ischemia, and localizing the involved coronary artery. The presentation emphasizes looking at ECG patterns methodically to diagnose acute coronary syndromes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    257 views23 pages

    12 Lead ECG Review: Dana Yost, Senior Paramedic Paramedic Training King County, WA

    Uploaded by

    Jamie Lynn Morgan
    Dana Yost is a senior paramedic and 12-lead ECG instructor who has been teaching paramedic training for 13 years. The document provides an overview of 12-lead ECG interpretation including lead placement, identifying underlying rhythms or imitators, systematically analyzing ST segments and T waves to determine infarction or ischemia, and localizing the involved coronary artery. The presentation emphasizes looking at ECG patterns methodically to diagnose acute coronary syndromes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    12 Lead ECG

    Review
    Dana Yost, Senior Paramedic
    Paramedic Training
    King County, WA

    Disclosures and Biases

    13 years - 12 Lead Instructor PMT

    AHA National & Regional Faculty

    Paid consultant on resuscitation and post event analytics


    Resurgent Biomedical Consulting LLC

    Published papers on resuscitation and mechanical CPR

    17 years - as a Paramedic in King County, WA

    Involved in Resuscitation Outcome Consortium Studies (ROC)

    Basic Patterns
    Lateral: I, aVL, V5/V6

    Lead Placement
    How the Leads view the Heart:
    Limb Leads

    Inferior: II, III, aVF


    Septal: V1, V2

    Anterior: V3, V4

    Chest Leads

    aVL
    I

    1 23
    4 56

    III

    aVF

    II

    What is the underlying rhythm?


    Imitators? (LBBB, Pacer, LVH, Ventricular Rhythms) if yes

    = STOP!

    Look at each pattern systematically:


    ST elevation (1mm or more)

    = INFARCT

    ST depression (1mm or more)

    = ISCHEMIA

    Inverted T waves

    = ISCHEMIA

    Pathologic Q waves (1mm wide or more)

    = OLD

    Need changes in two or more leads in a pattern


    Which pattern or patterns are involved?
    Localize the Coronary Artery (LCA or RCA?)

    Basic Patterns

    Lead Placement

    Lateral: I, aVL, V5/V6


    Inferior: II, III, aVF
    Septal: V1, V2

    Anterior: V3, V4
    Limb Leads

    Chest Leads

    aVL
    I

    1 23
    4 56

    III

    aVF

    II

    Basic Patterns

    Lead Placement

    Lateral: I, aVL, V5/V6


    Inferior: II, III, aVF
    Septal: V1, V2

    Anterior: V3, V4
    Limb Leads

    Chest Leads

    aVL
    I

    1 23
    4 56

    III

    aVF

    II

    Basic Patterns

    Lead Placement

    Lateral: I, aVL, V5/V6


    Inferior: II, III, aVF
    Septal: V1, V2

    Anterior: V3, V4
    Limb Leads

    Chest Leads

    aVL
    I

    1 23
    4 56

    III

    aVF

    II

    Basic Patterns

    Lead Placement

    Lateral: I, aVL, V5/V6


    Inferior: II, III, aVF
    Septal: V1, V2

    Anterior: V3, V4
    Limb Leads

    Chest Leads

    aVL
    I

    1 23
    4 56

    III

    aVF

    II

    13

    10

    12

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