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EKG Rhythm Flowchart?

Discussion in 'ALS Discussion' started by WuLabsWuTecH, Mar 21, 2010.

  1. WuLabsWuTecH

    WuLabsWuTecH Active Member

    Mar 13, 2008
    Columbus, OH (Worthington)
    Hey everyone!

    Long time no see! I'm working on studying for my EKG Rhythms test on Friday, and I'm having a lot of trouble remembering all the traits of the rhythms.

    For the exam, I'll need to be able to go forwards (see this strip, name the rhythm) and backwards (here's the name of the rhythm, tell me the characteristics you would see in a typical arrhythmia of this type).

    I can probably just brute force memorize the backwards, but for the forwards, I was thinking of making a flow chart to be more efficient than running through a million rhythms.

    Before I go reinventing the wheel though, does anyone know of a good flowchart (either available online for free or that I can pick up in a bookstore)? I'm willing to pay for it, but I have an A in my physics/cardiology class right now (98% actually woohoo!) and I'd like to keep it that way!

    Thanks in advance for any help you can offer!

  2. MrBrown

    MrBrown New Member

    Jul 19, 2009
    In reality it's just rote memorisation and understanding.

    I can get a two second look at a strip and go "yeah ok looks normal, move on" or "hmm that looks strange, lets have a nosey".

    We are taught:

    - P waves; present, absent, inverted etc?
    - PR interval; long or short?
    - QRS; narrow? wide? absent? pathologic Q waves? etc
    - ST segment; normal? depressed? inverted?
    - Rate 1500 or 300 method; regular or irregular?
    - Identify the rhythm

    Things like PVCs can be picked up pretty easy, as can an irregular rhythm but I have to go looking for this PAC or PJC. You can then look at R-R interval and things like that for blocks.

    For a 12 lead you also look at reciprocal leads.

    It's much harder to go backwards than forwards I find, which for me works out OK, I just repeat the same mistakes over and over! :D
  3. Dominion

    Dominion New Member

    Feb 14, 2008
    Louisville, Ky
    There is a good 'flow chart' in Dale Dubins EKG book, might want to give that a looksie.
  4. fma08

    fma08 Member

    Mar 12, 2008
    The arctic (at least that's what it feels like in
    Similar to MrBrown, we were taught:

    (assuming you are talking about the basic rhythms of the 3 lead)

    P waves- there? not there? weird looking?
    PRI- long? variable? short? not able to determine?
    QRS- Wide or narrow?
    Rate- Fast? Slow? Normal?
    Regularity- Regularly regular, eg. NSR, SVT? regularly irregular eg. Mobitz II, P_C's? irregularly irregular (A-fib)?

    Practice practice practice and NEVER EVER EVER memorize how a rhythm "looks", you'll get bit in the @$$ if you do. Take the time to analyze each part of each rhythm and make a determination from that.

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