Want to know more about bundle branch block, IVCD, Wolff-Parkinson-White, Brugada? Need a systematic approach to evaluating 12-Lead ECGs? Need to brush up on your arrhythmia interpretation? How do you explain prolonged QT intervals and Torsades de Pointes to your students? All this and MUCH, MUCH more in Dr. Grauer's new 2014 ECG Pocket Brain, E-PUB edition. This is the BEST comprehensive resource out there for ECG instructors and students alike!
Fans of the ECG Guru are very familiar with our Consulting Expert, Dr. Ken Grauer. His commentary on our content is invaluable, and is especially helpful to instructors who want to know how to present more complex information to their students. He makes ECG understandable and relevant to patient care situations. Dr. Grauer has published many print books and electronic books. He strives to keep the cost low in order to make his materials accessible to all. Through E-Publishing, he has been able to add more content and color illustrations to his popular books.
Dr. Grauer's latest E-book is the electronic version of his 2014 ECG Pocket Brain. Even if you have the print version of the ECG Pocket Brain, you will want the electronic version, because he was able to include MUCH MORE information, practice, and color illustrations. The E-Pub looks especially great on iPad, Kindle Fire, and a computer screen.
This is a contrasting follow-up to a posting I made during the record-setting heat of 2012's summer. Today, one of our local news channels here in Richmond, Virginia was reporting on widespread normal axis throughout central Virginia. Note the isolated physiological left axis deviation in the ironically-named “Hot Springs” Virginia.
References / Sources:
1.) WRIC Richmond News and Weather - - WRICTV8 - Home
2.) Blaufuss Multimedia - Heart Sounds and Cardiac Arrhythmias
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Patient data: 64-year old man who, prior to this ECG, had been in normal sinus rhythm. Whatever your level of sophistication in rhythm interpretation (i.e., basic, intermediate, or advanced), this ECG has a little bit of something for everybody. Basic interpreters will undoubtedly recognize the dominant disturbance of rhythm. Intermediate interpreters will probably add more descriptors to their interpretation that will better describe the overall pattern. Advanced interpreters will recognize the unique nature of multilevel conduction and ratios. A laddergram will best elucidate the exact mechanism. I'd like to hear from all types of interpreters.
When teaching ECG, I always try to make the ECG interpretation have some practical context for the student. Why study squiggly lines, if they don't mean something to our care of our patients? Even putting a simple scenario (actual or invented) with an ECG can make it more relevant for your students. A series of ECGs taken as the patient undergoes changes, is especially helpful.
Here, we present six ECGs generously donated to the ECG Guru by Jenda Enis Štros. They follow a man through an acute anterior wall M.I., from pre-hospital treatment, the Emergency Department, Cath Lab, thrombosis of his stent, repair, and recovery. In the future, we will be adding other series of ECGs, labelled "Series" to help you find them on the navigation pane.