chest lead placement is wrong?

The S whistles are so distracting haha

Nice work

Thank you!

Watching in 2020 and I have learned so much from this video. This video has given me the confidence in knowing I can finally understand the basics of reading 12 lead ECG’s.... I find understanding axis deviations difficult. I wish there was a part 2 with tracings of more common cardiac diagnosis. Thank you 🙏🏿

thanks for the great video! But when you were explaining regarding avR it wasn't really clear how it was a small R wave and a deep S wave? I could not see an initial positive deflection preceeding the deep, negative deflection. Instead what was visible was a deep negative deflection FIRST, followed by a small positive deflection. In that case shouldn't it be deep Q followed by small R wave instead of small R and deep S? Apologies if this question is rather silly :( This is my first week into ECG interpretation and I could really use the help. Thank you again for this great video!

Don't mind me: typing here is just the easiest way to take notes. Things to Check - is the patient in sinus rhythm? -- look at lead 2: if there's 1 p-wave per QRS complex, followwed by T wave, and the PR interval is no longer than1 big square, QRS isn't wider than 3 small squares: so yes, electricity is heading swiftly down the right pathway throught he ventriles -- WHEN YOU GETVERY HIGH HEART RATES, P-WAVE SOMETIMES IDISSAPEARS MAKING IT HARTD TO TELL - regular? yes, so long as the QRS complexes are consistently the same distances apart. ---- PR intrval: no larger than 3-5 small swares; if sconsistenyl longer, first degree heart block QRS: no wider than 3 small squares Limb leads: if there is a change ain any of these leads, it's refers to that locality. but few changes will occur in onely one lead alone. - AVL looks at top left of heart: should spike and then dive, being as tall as deep - AVR looks at top right (Right Atrium): should be inverted - I looks at lateral part of heart: side of left ventricle: should be positive - II/AVF/III look at low-down part of the heart, the inferior.: -- II/III should be positive Chest Leads: V1-6: from negative to positive - Abnormalities - ST Elevation: QRS complex and T-wavee blur in leads II/III/aVF, so ST segment is elevated above baseline. MI? - AFIB: a very fast heartrate with a proper QRS (no more thnan 3 squares) means that ventricle is doing it's job so the problem must be atrial - inverted -- T-wave: ischemia; if LVH, will present with tall R wave - height discrepancies -- lead II R wave > lead one R wave: cardiac axis swinging more to left -- Super tall R-wave in V4-6: left ventricular hypertropy (over 5 large squares tall) --- LVH could be healthy if it's an athelete, but HR would have to be low 25mm/s

finally i understood ecg... cant thank you enough.. :-)

Thank you ! This is helpful.

thank you for this video, it has helped me out

Beautiful! Thanks👏👏👏

I think I can possibly argue that the last rhythm strip is 2nd degree type I AV block because P waves marches out and then drops. It is not COMPLETELY disassociated. Any thoughts?

Amazing

Helped a lot!

25:40 Just to add to this. Sometimes when there is narrow complex tachycardia it can be ventricular in origin. This is typically seen in young people or in middle-aged patients with a history of myocardial infarction. It often goes misdiagnosed because it is fairly rare. For further reading: www.ncbi.nlm.nih.gov/pmc/articles/PMC5580969/

lovely video...Thank you!

i think the last ecg strip shown depicts a 2nd degree heart block of mobitz type 1( wenchebach)...could be easily seen in the rhythm strip...also there is St depression in the chest leads which depicts ischaemia...please clarify it sir!

I’ve watched tons of videos and this one helped me the most! Thank you

Thanks for teaching us the basics of ecg so simple and to the point

I found this to be taught in a logical way that is made easily understandable due to step by step approach and repetition of key points during the video.Compared to many others Ive looked at this is by far the most helpful. Thank you for helping me go from 3 lead to12 lead with a solid understanding of what was taught. However, of course I still need much practicing.

On the last EKG, I think it's a 2nd degree AV Block, Type I. Because the PR Intervals are increasing then there's a skipped beat. Otherwise, I really appreciate all your efforts. It made my EKG Interpretation easier and faster. I just need more practice. Thanks a lot. God bless.

It's people like you that make the Internet such a special place. People like you make up for all the nastiness and trolls etc. THANKYOU.

Good job you asked relevant question, to know the history behind he's sore throat and cough,and the smile on your face make it easy for him to answer.

this has been really helpful for me. Thank you for the video.

nice!

Great vid

Wow!!! excellent . Thank you so much hope you have more videos on ecg

For the rhythm at 31:00 he says its a sinus rhythm, but later calls it 3rd degree (or complete heart block) Yes, it is complete heart block. Its NOT sinus rhythm. Yes, there is activity coming from the sinus node, but that does NOT make it a sinus rhythm. The pulse is being generated by the ventricles. Since the ventricles are not receiving an impulse from the atria, they are generating their own impulses.

Great video covered appropriate sections of the history- in terms of the time it takes for the history the student NP will get better and faster with time and experience.

Beautiful. Thank you for this video. :)

I love her accent and the speech when asking so the patient can hear clearly. However, I am wondering the time of history taking in the real situation. How long do we as a nurse practitioner take interview in reality?

I do not understand why she would ask "What do you think it is", I feel this is clearly why the patient has come to her in the first place and it was a unnecessary silly question.

Her tone of voice is soothing. i need to practice to speak like her slow and smooth and listen to the patient carefully.

no pointer 😥

Thank you very much

it is good 7 out o 10

more close end question which does not allow patient to elaborate anyway that's good HT

Would be nice to have a pointer/indicator/highlighter to specify what is being discussed at a certain point in time.

Great interviewing skills, although I would recommend against using terms like "waterworks" as it's not a direct question and one that could be misunderstood by the patient.

grear ...thanx alot

Very nice- thanks for the help

It's always strange when someone explains the in a video like this. Like how to understand the PQRSTwaves, or how to read rhythms, etc. A person should already know the basics BEFORE attempting to understand 12 leads. So a video about 12 leads shouldn't unclude this. Its assumed that people learning 12 leads already know the basics. Its mandatory to know the basics before moving on to 12 leads

Thankyou so much for this video, it was really helpful ( :

when you talked about aVR, it wasn't really clear where R and S waves are.

Congrats!

Awesome! Well explained video however for inspecting the jugular vein (JVP) are we not supposed to inspect while the patient is in supine (30-45 degrees) but WITHOUT pillows? Also when "auscultating" the carotid artery isn't there 3 key areas we should be hearing bilaterally (angle of the jaw, midcervical area and the base of the neck?) Please advise.

20 minutes for every patient. lets assume u're in the ED with a waiting list. though the interview was comprehensive, I dun think you'd have the luxury.

Very nice history taking... Thank u!!

Thank you so much! This was very helpful!

Thank you!