Medical Student Survival Skill ECG 1st Edition by Philip Jevon, Jayant Gupta 1118818172 9781118818176

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Product details:

ISBN 10: 1118818172

ISBN 13: 9781118818176

Author: Philip Jevon, Jayant Gupta

 

Medical students encounter many challenges on their path to success, from managing their time, applying theory to practice, and passing exams. The Medical Student Survival Skills series helps medical students navigate core subjects of the curriculum, providing accessible, short reference guides for OSCE preparation and hospital placements. These guides are the perfect tool for achieving clinical success.

Medical Student Survival Skills: ECG is an indispensable resource for students new to ECG interpretation and cardiac arrhythmia recognition and treatment. Integrating essential clinical knowledge with practical OSCE advice, this portable guide provides concise and user-friendly coverage of all aspects of ECG monitoring, including atrial and ventricular fibrillation, myocardial infarction, and 12 lead ECG interpretation. Easy-to-find information, plentiful illustrations, OSCE checklists and expert discussions of actual ECG trace examples help medical students and junior doctors quickly get up to speed with ECG interpretation skills.

Medical Student Survival Skill ECG 1st Table of contents:

1 Introduction to ECG monitoring

Conduction system of the heart (figure 1.1)

PQRST complex (figure 1.2)

Sinus rhythm (figure 1.3)

2 Principles of ECG monitoring

Indications

ECG monitoring: Three ECG cable system (figure 2.1)

ECG monitoring: Five ECG cable system (figure 2.2)

ECG monitoring: Trouble shooting

Mechanisms of cardiac arrhythmias

3 Six stage approach to ECG interpretation

Electrical activity present?

QRS rate?

QRS rhythm: Regular or irregular?

QRS width: Normal or broad?

P present?

Relationship between P and QRS?

4 Sinus tachycardia

Causes

Identifying ECG features

Effects on patient

Treatment

5 Sinus bradycardia

Causes

Identifying ECG features

Effects on patient

Treatment

6 Sinus arrhythmia

Identifying ECG features

Effects on patient

Treatment

7 Atrial ectopic beats

Causes

Identifying ECG features

Effects on patient

Treatment

8 Atrial tachycardia

Causes

Identifying ECG features

Effects on patient

Treatment

9 Atrial flutter

Causes

Identifying ECG features

Effects on patient

Treatment

10 Atrial fibrillation

Causes

Identifying ECG features

Effects on patient

Treatment

11 AV junctional ectopics

Causes

Identifying ECG features

Effects on patient

Treatment

12 AV junctional escape rhythm

Causes

Identifying ECG features

Effects on patient

Treatment

13 Junctional tachycardia

Causes

Identifying ECG Features

Effects on patient

Treatment

14 Ventricular ectopics

Ventricular ectopic terminology

Causes

Identifying ECG features

Effects on patient

Treatment

15 Idioventricular rhythm

Causes

Identifying ECG features

Effects on patient

Treatment

16 Ventricular tachycardia

Causes

Identifying ECG features

Fusion and capture beats

Effects on patient

Treatment

17 Torsades de pointes

Causes

Identifying ECG features

Effects on patient

Treatment

18 First degree AV block

Causes

Identifying ECG features

Effects on patient

Treatment

19 Second degree AV block Mobitz type I (Wenckebach phenomenon)

Causes

Identifying ECG features

Effects on patient

Treatment

20 Second degree AV block Mobitz type II

Causes

Identifying ECG features

Effects on patient

Treatment

21 Third degree (complete) AV block

Causes

Identifying ECG features

Effects on patient

Treatment

22 Ventricular fibrillation

Causes

Identifying ECG features

Effects on patient

Treatment

23 Ventricular standstill

Causes

Identifying ECG features

Effects on patient

Treatment

24 Asystole

Causes

Identifying ECG features

Effects on patient

Treatment

25 Recording a 12 lead ECG

Common indications

Procedure

Locating the intercostal spaces for the chest leads

Alternative chest lead placements

Labelling the 12 lead ECG

Standardisation

26 What the standard 12 lead ECG records

Limb leads

Chest leads

Limb and chest leads and their relation to the surface of the heart

Configuration of the ECG waveform

27 Interpretation of a 12 lead ECG

P waves

PR interval

QRS rate

QRS rhythm

QRS complexes

Q waves

T waves

ST segment

QT interval

U waves

Association between the P waves and QRS complexes

Cardiac axis (figure )

Previous ECGs

28 ECG changes associated with myocardial infarction

Within minutes of myocardial infarction

Hours to days following myocardial infarction

Days to weeks following myocardial infarction

Localising the myocardial infarction from the ECG

Reciprocal changes

Diagnosing myocardial infarction in the presence of left bundle branch block

ECG examples of myocardial infarction

29 ECG changes associated with myocardial ischaemia

ST segment depression

T wave changes

30 ECG changes associated with bundle branch block

Left bundle branch block (figure 30.1)

Right bundle branch block (figure 30.2)

Left anterior fascicular block

Left posterior fascicular block

Bifascicular block (figure 30.3)

Trifascicular block (figure 30.4)

31 Wolff–Parkinson–White syndrome

Identifying ECG features

Classification

Complications

Treatment

Appendix A: Resuscitation council (UK) bradycardia algorithm

Appendix B: Resuscitation council (UK) tachycardia algorithm

Appendix C: Resuscitation council (UK) advanced life support (ALS) algorithm

Appendix D: Vagal manoeuvres

Appendix E: Synchronised electrical cardioversion

Synchronisation with the R wave

Shock energies

Procedure

Appendix F: External (transcutaneous) pacing

Indications

Advantages

Appendix G: Procedure for transcutaneous pacing

Appendix H: Definitions

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