37 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

    • Education
    • 5.0 • 1 Rating

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.35 - Don't Look Here, Look Over There, That's Where the Problem Is! - Reciprocal Changes with Dr. Jones

    Ep.35 - Don't Look Here, Look Over There, That's Where the Problem Is! - Reciprocal Changes with Dr. Jones

    On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. Medicus of Houston is a continuing medical education company that specializes in advanced ECG interpretation and instruction. 
    He is a Board-certified emergency physician, author, speaker, instructor and and internationally-recognized expert in electrocardiography.
    Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practiced internal medicine and emergency medicine for over 40 years.
    Also In This Episode
    What is a Reciprocal Change?  The rules of Reciprocal Change Only in the same plane as ST elevation The leads manifesting reciprocal change should be as close to 180 degrees away from the leads with ST elevation as possible. ST Elevation / Reciprocal Pairs Inferior Epicardial Ischemia with Reciprocal Change Basolateral Epicardial Ischemia with Reciprocal Change Posterior / Lateral Epicardial Ischemia  Epicardial Ischemia with Reciprocal Change ECG Tracing example An impulse travelling perpendicular to a lead axis cannot be seen in that lead.  ECG Tracing example Ventricular Aneurysm  The Problem with Anterior ST Elevation LAD Occlusion and Reciprocal Changes ECG Tracing examples Acute Pericarditis  Danger is hiding in Reciprocal changes ECG Tracing example ECG Tracing example Subendocardial Ischemia or Reciprocal Change? ECG Tracing examples of Reciprocal changes ECG Tracing examples of Subendocardial Ischemia Six points to remember Dave's take-home points   
    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!
     

    • 45 min
    Ep.34 - All PEA is not the Same: Pseudo PEA vs. True PEA with Tarlan Hedayati, MD, FACEP

    Ep.34 - All PEA is not the Same: Pseudo PEA vs. True PEA with Tarlan Hedayati, MD, FACEP

    In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss how to differentiate between Pseudo PEA and True PEA.
    Dr. Hedayati is a practicing Emergency Physician in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. 
    Also In This Episode
    Patient Case: 57 YO Male POC Ultrasound Pulse checks, are fingers are dumb POCUS for Pulse FEEL for cardiac activity (Focused Echocardiographic Evaluation in Life support)  The downside of POCUS POCUS in the emergency department CASA (Cardiac Arrest Sonographic Assessment) Tamponade RV strain Motion PEA Evaluation Pressor Infusions vs. Standard ACLS PEA Bottom line: POCUS & minimize pauses  
    Connect with Tarlan Hedayati: 
    Twitter: @HedayatiMD https://twitter.com/HedayatiMD
     
    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!

    • 26 min
    Ep.33 - The Ultimate Compressor

    Ep.33 - The Ultimate Compressor

    In this episode, Dave shares the importance of practicing quality CPR with the goal of being the 'ultimate compressor'. 
    Also In This Episode:
    Patient case which deteriorates to cardiac arrest- AHA/ILCOR ECC guidelines to begin immediate chest compressions and application of the cardiac monitor with an attempt at defibrillation. Work as a team on the choreography of resuscitation. Ensuring no one provider has a cognitive overload and is able to focus on a specific assigned task. Ensure the provider who is performing the skill of chest compressions is able to focus on the appropriate rate, minimizing pauses, and allowing for complete chest recoil. CPP - Coronary Perfusion Pressure is the key to providing the cardiomyocytes with the sugar, water, oxygen they need to survive by perfusing the coronary ostia and building CPP.  Post ROSC care should include maintaining a systolic blood pressure of at least 90mmhg, 02 sats between 94-99%, patient normothermia, 12 lead ECG interpretation and finally working with other health care providers on a coordinated transfer of care.  
    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!

    • 23 min
    Ep.32 - Feel The Squeeze...Oh No! It's Medical Math

    Ep.32 - Feel The Squeeze...Oh No! It's Medical Math

    In this episode, Dave is joined by Brad Reid to discuss Medical Math and how you can be sure that you are making accurate calculations at 3 o'clock in the morning when you are hungry and tired!
    Brad is an Advanced Care Paramedic in Nova Scotia and currently is the Program Manager for Medavie HealthEd that delivers Primary and Advanced Care Paramedic programs. Brad has worked as a Paramedic in Nova Scotia for 25 years. He also continues to work clinically as a Department Paramedic for the Nova Scotia Health Authority.
     



    Also In This Episode:
    Patient example: 63 Y/O F Starting with the basics Patient example: Dopamine infusion Medical Math What do we need? What information do we have? How much do we need? What is the drip rate? Is there another equation? Yes! The Clock Method The Digital Method  
    More about Brad:
    Brad has been involved in education for over 20 years. Initially delivering programs for St. John Ambulance, Brad helped develop the Maritime School of Paramedicine delivering the first Primary Care Program in 2001. Brad obtained his diploma in Adult Education from St. Francis Xavier University.
    Brad has represented Nova Scotia as the Provincial Director, and Vice President for the Society of Prehospital Educators (SPEC) and held the position of Medical Advisor, ACP for the Professional Standards and Accreditation Committee for St. John Ambulance National.
     
    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!

    • 34 min
    Ep.31 - Hyperkalemia with a Cellular Twist You Can't Miss!!! Klein's Version!

    Ep.31 - Hyperkalemia with a Cellular Twist You Can't Miss!!! Klein's Version!

    In this episode, Dave highlights one some consider to be the ultimate imposter- Hyperkalemia. Hyperkalemia is a life threatening electrolyte abnormality that can be easily missed in the emergency setting, and it is vitally important that we can recognize this by interpreting our patients ECG. 
    Also In This Episode
    ECG example - Diagnosis  Depolarization - what's happening at the cellular level. You don't want to miss it. What is Hyperkalemia? ECG example Hyperkalemia is a primary cellular problem which is why is produces global changes on the ECG. Is that Asystole? Nope it's sinus rhythm in Hyperkalemia "mic drop"! Calcium backdoor solution to temporary stabilization of the cardiomyocytes. Buying your patient time to definitive care. Potassium levels produce characteristic ECG changes but it's not sharp and point T waves...  
    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!

    • 25 min
    Ep.30 - STEMI Equivalents You Can't Miss with Tarlan Hedayati, MD, FACEP

    Ep.30 - STEMI Equivalents You Can't Miss with Tarlan Hedayati, MD, FACEP

    In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss STEMI equivalents: ECG patterns that need the Cath Lab.
    Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. 
    Also In This Episode
    What are STEMI equivalents? STEMI defined ECG families Case example: 63 female Wellen's waves Case example: 66 female STE aVR > V1, STD Diffuse Ask about DAPT Case example: 67 male Discordant ST-segments and T-waves Sgarbossa's criteria  Sgarbossa-Smith modification  Case example: Non obstructive CAD LBBB Case example: 43 male De Winter's waves OHCA with ROSC: Who goes to the Cath lab? Pattern Recognition: "HOW BAD" is the ECG Connect with Tarlan Hedayati: 
    Twitter: @HedayatiMD https://twitter.com/HedayatiMD
     
    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!

    • 41 min

Customer Reviews

5.0 out of 5
1 Rating

1 Rating

Steve... Can ,

Succinct and entertaining

Wish the videos were free also but the audio is fantastic. Please keep them coming!

Ryker

Top Podcasts In Education

Listeners Also Subscribed To