Need tips on how to read an ECG

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    I am in need how assistance on how to better read an ECG. I understand the basics, but get thrown off by different rhythms. Tips, advice, book, website..whatever you can recommend would be much appreciated
  2. 10 Comments so far...

  3. 0
    Good day:

    These are from notes I've taken from other posts:

    Interpreting ECG strips

    There's a nice interactive page for ECG basics here.

    The rest of the site is mostly aimed at EM docs, but the ECG Quiz is also helpful.

    Here are some great resources teaching sites.

    ECG Learning Center - An introduction to clinical electrocardiography
    ECGpedia
    Learn EKG basics - ECG review



    Also ECG ? A Pictorial Primer

    https://www.youtube.com/watch?featur...&v=oH1OpyhlfFU might also help.

    Thank you.
    Last edit by pmabraham on Mar 14, '13 : Reason: Added youtube link
  4. 0
    Thanks pmabraham for finding those links from AN. Not being a nurse or in nursing school..... it would be difficult knowing which are quality/suitable sites for students.....thank you for finding ones that would help the OP in the allnurses community!

    OP ......I know these links and recommend them myself.....
  5. 2
    Good day Esme12:

    Thank you for your kind words.

    I'm still waiting for my acceptance (hopefully it is acceptance) letter for nursing school.

    In the mean time, I've been trying to learn from you, and others in terms of taking notes (I use Evernote) that I will believe will be useful should I get accepted.

    It is good to read / hear, that the at least this set of particular notes were on target.

    Thank you.
    GrnTea and Esme12 like this.
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    Jill2Shay likes this.
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    Youtube has great videos on EKG interpretation.
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    I would have to agree that YouTube is a really good series of videos for interpreting EKGs. Personally, I would not start with learning the really complicated stuff, rather I would focus on learning the ten or so basic rhythms that people can have. Once you have those down, you can go on to other things such as dealing with infarctions, hypertrophies, and the like. Reading the basic EKG stuff is relatively easy, it is when you get into that other stuff that things can get extremely hard and sometimes even the experts have problems.

    While I also have not taken a good look at the links above, I would certainly hazard a guess that most, if not all, would be suitable for student use. Just start with the basics and go from there! Probably the only thing that I would add is for you to keep in mind that sometimes you might find patients that are in a 1 heart block in a Sinus Brady rhythm, and they're completely asymptomatic. If you see that, consider the possibility that your patient may have been, or is, an athlete. That is a physiological adaptation to exercise, and may not be a pathological problem. It wouldn't be something that I'd see in the non-athlete. Athletes are usually pretty aware of their bodies, so they'll know what their resting heart rate usually is. It doesn't hurt to ask!
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    I couldn't agree more Akulahawk... Patients often know what their baseline is, or have been in the hospital before and heard someone mention "some kind of block." I work on a telemetry floor with a lot of return customers, so to speak, and the most important thing is to look for changes. Start with the basics, but also be aware that a new block is occasionally indicative of something more serious (or sometimes it's just a new med, or often totally benign!!), but bottomline- don't be afraid to ask! I liked reviewing youtube videos, and Dubin's EKG interpretation book is great.
  11. 0
    There's an online course here on how to do this.
    How to identify a save EKG rhythms from a fatal one.

    Hope it helps!
    Melissa


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