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Pediatric ECG Interpretation Guide

1) Rate Calculation
2) Rhythm
3) QRS Axis
4) P Wave
5) ST Segment
6) QTc
7) QRS Complex
8)
Pediatric ECG Interpretation ... ST Segment 6) QTc ... gracie_leo #ECG ... #Pediatrics #peds ... #EKG
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis ... #interpretation
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... • QT interval is ... = QT / √ RR - ... @AmyChung #EKG ... #ECG #Electrocardiogram
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... in new syncope/ ... - QT prolonging ... Syndrome #Diagnosis #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: QT interval ... includes long QT ... syndrome or short QT ... interpretation. ... #cardiology #differential
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... interruption (e.g ... in the night (e.g ... #Management #Treatment ... #MICU #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare