24 episodes

Welcome to the Current ECG Podcast! You listen to this podcast because you want to advance your ECG Interpretation skills and deliver a higher quality of patient care as a practitioner of Emergency Medicine.

This content has been crafted for students and practicing Paramedics, Nurses, Physician Assistants, Physicians, Medical Students at all levels and scopes of practice and Emergency Medicine Educators.

You will learn the basics to build a strong ECG foundation and more advanced topics like the importance of understanding Morphology as well as currents of injury and their impact on what you see on an ECG tracing.

If you're a student who wants to breakthrough in Emergency Medicine, learn how to work the trucks in the streets, this is for you!

If you're a seasoned veteran who wants to brush up on your skills and stay up to date on the most current ECG information, this is for you!

Current ECG Podcast David Klein

    • How To

Welcome to the Current ECG Podcast! You listen to this podcast because you want to advance your ECG Interpretation skills and deliver a higher quality of patient care as a practitioner of Emergency Medicine.

This content has been crafted for students and practicing Paramedics, Nurses, Physician Assistants, Physicians, Medical Students at all levels and scopes of practice and Emergency Medicine Educators.

You will learn the basics to build a strong ECG foundation and more advanced topics like the importance of understanding Morphology as well as currents of injury and their impact on what you see on an ECG tracing.

If you're a student who wants to breakthrough in Emergency Medicine, learn how to work the trucks in the streets, this is for you!

If you're a seasoned veteran who wants to brush up on your skills and stay up to date on the most current ECG information, this is for you!

    Ep.22 - What's Up with Q Wave?

    Ep.22 - What's Up with Q Wave?

    In this episode, Dave tackles the question: What's the difference between a normal Q Wave and a pathological one? 
    Also In This Episode
    The hexaxial reference grid, the Cabrera system Septal Depolarization A window to the other side of the Heart! Negative deflection  Pathological Q wave criteria  ECG examples  
    Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!

    • 8 min
    Ep.21 - COVID-19 Could Break Your Heart

    Ep.21 - COVID-19 Could Break Your Heart

    In this episode, Dave talks about COVID-19 and some additional information that clinicians and emergency care providers can use to help them identify and manage some of these patients.
    Also In This Episode
    ECG Tracing examples What does COVID-19 do to the heart? Not all viruses are the same Systemic inflammatory response  Myocarditis: STEMI, HF, Shock  Cytokine release ECG Tracing examples Risk factors Treatment  
    Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!

    • 16 min
    Ep.20 - VTACH

    Ep.20 - VTACH

    In this episode, Dave talks about VTACH, monomorphic and polymorphic, how to define them and finding the root cause of a rhythm.
    Also In This Episode
    Monomorphic VTACH defined  Dave's story - When you're following ACLS but the patient doesn't respond as expected ECG Tracing example - wide tachycardia  
    Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!

    • 8 min
    Ep.19 - Current ECG + Master Your Medics | TCA Overdose Case Study

    Ep.19 - Current ECG + Master Your Medics | TCA Overdose Case Study

    On this episode, Current ECG teams up with Master Your Medics to present a TCA Overdose case!
    Dave discusses the pathophysiology behind sodium channel blocking medications and how they affect cardiac depolarization at the cellular level. This is important because it affects how we interpret the ECG. 
    Cardiac toxicity can develop quickly in TCA overdose, so get an ECG early in the clinical course if suspecting the diagnosis.
    Dave also discusses how sodium bicarbonate works to alter the patients ph level as well as competitively binding to sodium channel receptors helping to reverse the acidosis and TCA availability in the blood.
    Treatment options include:
    Oxygen Sodium bicarbonate for a QRS complex wider than 100ms. Assisted ventilations via BVM with potential for early intubation consideration which will help to blow off C02 0.9% Normal Saline What are some signs of TCA Overdose on the ECG?
    Sinus Tachycardia – most frequent dysrhythmia Widening of the QRS complex Prolongation of the PR or QT interval Right bundle branch block Non-specific intraventricular conduction delay (IVCD) Brugada pattern Wide-complex tachycardia (not ventricular tachycardia) Ventricular tachycardia / fibrillation How wide is too wide? 
    A QRS duration >100ms is predictive of seizures and QRS >160ms is highly likely to experience a ventricular dysthymia. 
    The ECG from our patient had a QRS of 144!
    .
    Check out Master Your Medics: https://podcasts.apple.com/ca/podcast/master-your-medics/id1235264636
    .
    Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!
    .

    • 37 min
    Ep.18 - Sensitivity and Specificity

    Ep.18 - Sensitivity and Specificity

    In this episode, Dave talks about the importance of interpreting ECG tracings with a focus on Sensitivity and Specificity on the cardiac monitor.
    Dave explains what Sensitivity and Specificity is and how it applies to you as a clinician. 
    Also In This Episode
    Interpreting ECG tracings The psychology of chest pain  Cardiac monitor ILCOR Sensitivity and specificity  
     
    Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!

    • 12 min
    Ep.17 - Understanding Collateral Circulation and the Lateral Wall - Audio

    Ep.17 - Understanding Collateral Circulation and the Lateral Wall - Audio

    On this episode Dave talks about collateral circulation, the lateral wall and the importance of understanding cardiovascular and coronary anatomy and physiology when you are interpreting an ECG. 
    Also In This Episode
    Electrical Silence  Changes in the lateral wall appear subtle ECG tracing example #1 Why is there no changes in the low lateral leads? ECG tracing example #2 ECG tracing example #3 Morphology and reciprocal changes Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. 
    Subscribe now at CurrentECG.com 
    And Stay Current!

    • 10 min

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