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EKG like a BOSS Part 2 - The 5 Step Method
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- Опубліковано 6 сер 2024
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Check out this link to help you read EKG strips like a pro! nursing.com/?...
Reading an EKG strip can make anyone cross-eyed. How in the world do you interpret those squiggly lines! How can you identify a normal ekg, and know when something is abnormal? It's really not as tough as you think.
This is part 2 of our 3 part series showing you the most comprehensive and accurate way to figure out exactly what those crazy lines mean. This series is sure to help you reduce study time and breeze through those EKG nursing exams.
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#EKGStrips #NursingTips
Eduardo Samper, M.D.
First things first. Allow me to congratulate you for your gift of explaining unfamiliar information and making it so understandable.
Secondly, please allow me to correct a tiny oversight in Part 2 of your series. About the Step 5, PR Interval, min 3:43. The person who made the illustration wrote "less than 0.02 seconds" for its duration, when it should read "less than 0.20 seconds" (5 small squares).
Normal Intervals
Normal Intervals
P-R interval = 0.12 - 0.20 sec (3 - 5 small squares)
QRS width = 0.08 - 0.12 sec (2 - 3 small squares)
Q-T interval 0.35 - 0.43 sec.
Keep it up, we need the nourishment.
Thanks.
Great video. I apologize for pointing out a correction (which your previous video had correct) is in this video you said the PRI needs to be less than 0.02 seconds. I know you meant 0.20 because you followed it up with the proper QRS complex interval
Yeah! I was like "man I thought I got this, what am I missing now?" Thanks for your comment
I'm glad I noticed your comment. I went to Google like Wait a Minute What??? Thanks for pointing it out.
No need to apologize. I think she could speak a little slower a tad bit. I feel like I'm on a tread mill trying to keep up with her. Her explanation skills are clear though, and I like that. Just need to speak slower.
Exactly. I was like what??? Had to dig out my text book and notes. Otherwise....good video. I learnt a lot.
Yes. She speaks too fast,@
I know I speak for us all when I say this subject matter is so intimidating, and your videos are amazingly helpful. Thank you from the bottom
of all our bottomless nursing hearts!
I've been doing EKGs in medical office for years (the machine always tells me the Rythm issues), but now I have an interview at the hospital, and I want to be prepared for interview questions. This was a great "brush up" for me and boosted my confidence. Thank you!
Nichole Weaver, you are the boss, kid. I can't get in to see cardiologist until November and I'm afraid to exercise or anything since a new NO p- WAVE, left deviation and wondering leads ECG (8/20/2022; they didn't even tell me' luckily there is a portal with the badicy health info - I'd be surprised but they didn't tell me about the ChF LBBB, Low Voltage when I was hospitalized 10/12/2021, (for right vagus nerve injury after should rotator cuff surgery- Diagnosis; "Gastroparesis"- bottom part of stomach paralyzed - classic right vagus nerve injury - surgeon didn't even acknowledge it) didn't dnt), that's on top of LBBB, low voltage, CHF had I fart 6/27/2022. So, I'm depending on you girl to help me know what to do. Lucky my SR seems to be ok. Thanks for your excellent work.
I always feel like I'm going to lose my job when it comes to the annual rhythm interpretation tests. These videos are helping me stop updating my resume lol.
At least you said the correct thing... PR interval 0.20 secs, appreciate your teaching
the P-R interval is less than 0.20 seconds right? this video is showing 0.02 seconds
She said 0.20 seconds but the writing says 0.02 seconds
She got it wrong. She talks too fast, must have overlooked it.
Yes
@@theguapochannel yeah well at least with her u can pause and it's free begger cannot be choosers hahahahahahaha jk
That's what I was thinking lol. Like huh lol
Thanks for making it simple, simple enough for a pharmacist to follow!
So organized and to the point love it!
Thank you!
Thank you so much - you made it much more clearer than anyone I have listened to or read
Learnt more than ever before. Thank you for your enthusiasm on this subject.
This is SO helpful, the other videos in the series are also, thank you!
Thank you for putting much light into this.
she's great so easy to undrestand- thank you so much
You are so easy to listen to, very engaging!
simple and so helpful for a refresher!
Great tutorials. You are an amazing teacher! You make EKG reading so clear! Thank you.
Thank you so much for this video! I'm an EKG student. You helped me to understand what I struggled with for 3 weeks in a matter of minutes.
Well explained! Thank you! You did amazing!
You’re so supportive literally I get everything from the first time thank you 🥰🥰
In the few minutes of part 1, 2 & 3 that you have posted, things became much easier to understand and follow. Information retention on a high. Your style of info relay is bang on and appreciated!
All your videos are GREAT! I was totally lost before I started watching them. Keep it up!😉
Your explanation is AMAZING!!
Thank you very much. Now I will be able to read any EKG. You make it so easy. God richly bless you!
I've learned so much watching your video. Thank You!!
Thank you for these videos, I've been a Registered MA since 2007 but this gave me a WAY better understanding!
You’re brilliant thank you for your informative video you’re such a helpful Nurse well done ❤️
Thanks for this! So simple!
Bless you 😩😩😩 thank you sooo much!
I know I am about to be doing my 8 hr exam review and ur a huge help with refreshing me and on the stuff that really matters u dont want mess up ur the best
So very helpful! Thank you!........
I really need to thank you .😘😘, I literally has no idea about intrepreting ecg
Excellent video. You are a fantastic presenter.
You are so helpful and nice. Thank you for sharing this information with us in an easy to understand manner.
Thank you so very much
Love you!!! I just had the attending quizzing me on this yesterday and I looked like a dumb ass. but I think I got it after watching your videos! lol
U r an amazing teacher ty!
This was so helpful. It's hard to just read about it because I'm a visual/audio learner. Reading doesn't help. Plus I've looked up so many EKG learning videos and they were duds until I found these videos. So thank you very much.
Amazing explanation.
Thank you!!
Love it 👊
Thank you
small error in your PR interval description. I think you mean 0.2s(200ms), not 0.02s(20ms).
Thank you 💞
Thank God for you!
Excellent!
Have normal EKG graph paper on hand . super imposed it on paper you just got. The difference will appear then you will know what's wrong from there you can determine ..........
ty also ...there is a written typo in the p r interval...its written as 0.02...while it should be lower than 0.2 (5 small boxes) xd anyway ty alot
Agree with Ryan, your videos are awesome to watch and I use them as an easy way to teach ECGs. However, this video has the PR interval incorrectly stated. It should be 0.20 seconds. Are you able to amend this please.
Heart + wave diagrams with explanation good lesson
Great job
thanks
TQVM
Simple to understand
God bless you thank you so much🤗🤗🤗🤗🤗
I’m in an EKG online certification course. Your videos are so helpful and really fill in the holes. Your videos made me fill more confident in the subject
If you don’t mind me asking what ekg online course are you taking …. I can’t find a decent one. Thanks
Great videos!!
Thanks for the videos! So you look only at the lead II wave ? Or which one is that?
Great video, one of your slides says PR interval should be less than 0.02 sec. Typo?
Thank you. I am in the process of becoming a certified telemetry and ekg technician. You are helping me a lot.
I'm also starting ekg tech certification this Friday, how is it?
Great! Simple video. Thanks, anyone know how to get link to watch part 1? Thanks in advance
hey like a boss,
Just a gentle reminder
PR interval must be less than 5 small boxes
so 0.04x5=.20 sec
I think it's a typo mistake in your slide
which is .02 sec
you did a good job
What advice would give an ekg monitor tech? The most important information to learn first. This information is so helpful. Thank you!
May I ask how did you get 22 small boxes when counting the number of small boxes between two QRS complexes when calculating the heart rate using the 1500 method?
Take a look at about 2:10 where she says to count the small boxes between two QRS complexes. The red line is misleading. Just count the number of dots between two descending 'S' waves. You can easily see dots at the corners of each small boxes. That is where 22 comes from.
1500 is the number of small boxes per minute.
1500 = 60/0.04
This is just 60 sec divided by the time per small box.
1500 boxes per minute divided by 22 boxes /beat
gives 68 beats per minute.
Love you.....
It's like watching Emilia Clark without the British accent, you two look sooo much alike. Also, thank you for the info, I'm trying to pass my critical care final tomorrow!
Keep us posted. How was the exam?
Thxxxxxxxx ❤
Thank you for your videos. I had a brain block for 2 days. Totally bombed my exam yesterday. Lol but now it all makes sense 💯
Just prepare more for the next exam. She explains this stuff beautifully.
I’ve only watched two videos and I’m inclined to think you misspoke, however getting the PR interval time wrong in both videos, as well as writing it out and putting it in the video I just can’t. .02 seconds would be half of one small box and is incorrect. Also it’s a range of .12-.20
I've looked ..ived learn
There's conflicting info from part 1 and part 2. Part one says PR interval should be less than 0.20 seconds. This says 0.02 seconds.
Should be 0.2
Yep, because each small square is 0.04 seconds. 0.02 seconds would have been half of s small square. Normal PR interval is less than 0.2 seconds (200 milliseconds).
@@tfshum
Adjust video speed thru Settings❤️
p-r interval is 0.20
The video mistake of .02 and point .20 is just that, a mistake. Great video!!
I have NO P-Wave! Can I exercise, I'm just lying bed waiting.....got shingles in my trigeminal nerve, so at least I have something to think about (pain). I feel alone.
0.2 edit last part about PR interval
Great video! May I ask, when counting the small boxes between the QRS complexes to check the rhythm and rate, are you counting from R peak to R peak, or from S to S? (I noticed the values will be slightly different).
could someone explain where the 22 small block comes from, like how did she get it?
Please edit the PR interval error. I see people mentioned it months ago and you still have not!
Should the PR Interval be 0.12 secs to 0.2 secs not 0.02 secs?
nevertheless, great video. I subscribed because I am learning... yes good work Nichole
I really hope you read this- when you say we should look at a 6 second strip is that 6 seconds from ONE LEASf only because when the report prints out it’s all 10 leads so do you mean 6 seconds from lead 1 to leave AVR
At 3:43, the PR interval should be less than 0.20 seconds (NOT 0.02 sec as shown in the image). Just a small correction and reminder for myself.
Can you double check the PRI measurements it is less than 0.02 or 0.20 sec? 3-5 small boxes? 0.04 is one small box.
Do you offer any interpretations of ecgs if so what is cost?
what if the patient is super anxious during an EKG and their HR is sped up because of that? thank u!!
I think you meant to say PR interval less than 0.20 seconds not 0.02 sec
Rudy has just joined your webinar
And how do catch a prolonged contraction on a six second strip when that prolonged contraction occurs every 10 seconds?
This is the problem with modern EKG, they are so brief they miss problems that don't occur in that small time window. Back in the days they hooked you up to the machine for 5 minutes to see what your heart would do over that time span, now everyone is in a hurry; "Bah humbug!"
At the end,this video is showing wrong duration of PR interval at step 5,There should be 0.20 seconds instead of 0.02 seconds.
What do u mean by 6 second strip
How do you know when it’s a 6 seconds strips please ?
I dont see where she got the 22 boxes from?
how many leads are we looking at?
You've got a mistake towards the end. You say (and it's also on the graphic) that the normal PR interval is less than 0.02 seconds!! Should be less than 0.20 seconds.
Hi, i like ur videos, but how did u get 22 small boxes? When i counted i got 28. There were 6 in between large boxes, so 5×6= 30, Please reply
Great video. I'm not a nurse but have a question. I am a regular runner and have been doing it religiously for 22 years now. My resting pulse is in the 40-44 range. Is that a problem? (you state that normal is 60-72bpm)
Stop bragging, lol. Jk!
Usually athletes have lower resting heart rates than the rest of us. Usually not an issue, although it might be better to get it consulted by a doctor to rule out other possible causes too to be sure. Plus too low a heart rate say while sleeping can be a serious issue too.
Isn't it that PR interval should be 0.12-0.20 seconds? and not 0.02 seconds?
How t use 1500 metod? it is a bit confused
2:20 i always struggle with this part- you counted 22 boxes which means that you had 2 extra small boxes from somewhere in addition to the 5 large boxes (5*4=20). i can't figure out where you get the extra 2? do people just eyeball it?
I thought i was the only one stuck on that part im confused
The red line that shows up is actually longer than the R-R interval. Typically I use the top of the QRS complex to count, but in this case they are using the bottom of the QRS. Either way, you would count from the tip of one to the tip of the next. When you count the boxes there are four big boxes which would account for 20 little boxes and then there are two more smaller boxes. Adding these together gives you 22 small boxes from tip to tip. Or you can always just count all the small boxes. I hope this makes sense and helps you out a little!
22 small boxes in 6 seconds.
your video graphics don't match up with what you're saying, the PR interval in the last steps shows 0.02 seconds when it should be 0.20 seconds, in your recap section it is also incorrect.
oh my. an error there, that should be 0.20 secs for the PR interval...