12 Leads Made Easy

1. 12 Leads Made Easy STEMI Recognition Class Michael D. Murley

2. 12 Leads Made Easy Module 1 – Introduction to 12 Leads Module 2 – Learn to Identify the J Point Module 3 – Learn to identify ST Elevation Module 4 – Lead Views Module 5 – Game for review Module 6 – Putting it all together, STEMI Recognition

3. Module 1 Intro to 12 Lead Most 12 Leads have this common layout

4. Module 1 Intro to 12 Lead 4 Columns

5. Module 1 Intro to 12 Lead 3 Rows

6. Module 1 Intro to 12 Lead

7. Module 1 Intro to 12 Lead Practice filling in the Leads

8. Module 1 Intro to 12 Lead

9. Module 2 Learn to ID the J Point STEMI

10. Module 2 Learn to ID the J Point Achieved by obtaining a rapid 12 Lead ECG

11. Module 2 Learn to ID the J Point While it is possible to identify Myocardial Infarction by clinical presentation, Lead II = No Clue

14. Module 2 Learn to ID the J Point

15. Module 2 Learn to ID the J Point Junction Point or J Point

22. Module 2 Learn to ID the J Point Now that you know how to find the J Point, let’s learn how to find J Point elevation

23. Module 3 Learn to ID J Point elevation

24. Module 3 Learn to ID J Point elevation Don’t compare J Point to the PRI segment, there are medical conditions that my cause PRI depression

25. Module 3 Learn to ID J Point elevation Your eye wants to compare it to the PRI, but that’s not best reference point

26. Module 3 Learn to ID J Point elevation The TP segment provides the best baseline to evaluate ST elevation

28. Module 3 Learn to ID J Point elevation Let’s practice finding the J Point and check for elevation/depression

29. Module 3 Learn to ID J Point elevation Let’s practice finding the J Point and check for elevation/depression

42. Module 4 Lead Views There are many different leads with many different features

43. Module 4 Lead Views

45. Module 4 Lead Views The heart is not oriented vertically in the chest Left Ventricle is Cone shaped and it rest on the diaphragm Left Ventricle is divided into 5 regions

62. Module 4 Lead Views The criteria for a STEMI is ST segment elevation in two or more contiguous Leads

63. Module 4 Lead Views Only for ventricular Leads

64. Module 4 Lead Views V2 V1 V3 V4 V5 V6

65. Module 5 Review

66. Module 5 Review

67. Module 5 Review

68. Module 5 Review

69. Module 5 Review

70. Module 5 Review

71. Module 5 Review

72. Module 5 Review

73. Module 5 Review

74. Module 5 Review

75. Module 5 Review

76. Module 5 Review

77. Module 5 Review

78. Module 6 STEMI Recognition Now we know what we are looking for (ST elevation) and where we are looking (Lead views) It’s time to put it all together by taking a step by step approach to reading 12 Lead ECG’s

79. Module 6 STEMI Recognition Interrupting the 12 Lead requires you to go Lead by Lead, selecting one good representative complex

80. Module 6 STEMI Recognition Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis

81. Module 6 STEMI Recognition Pick one with a good baseline to compare and DON’T select a PVC or any ectopic complex for analysis

82. Module 6 STEMI Recognition Once you have your complex, find the J Point and determine if ST elevation is present

83. Module 6 STEMI Recognition Check each Lead, one by one, throughout all the Leads except aVR. When you’re down, answer this question

84. Module 6 STEMI Recognition If so, suspect STEMI

85. Module 6 STEMI Recognition

86. Module 6 STEMI Recognition Let’s practice

92. Congrats! Let’s practice! Let’s Practice

93. Practice 12 Leads

110. Fin

12 Leads Made Easy

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