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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 ... Rhythm 3) QRS ... gracie_leo #ECG ... #peds #cardiology ... Electrocardiogram #EKG
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... • QT interval is ... = QT / √ RR - ... @AmyChung #EKG ... Interpretation #ECG
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
dextrocardia, normal Intervals ... DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Lorazepam 0.1 mg/kg ... Anti-epileptic #3 ... #treatment #algorithm ... #peds #pediatrics ... #neurology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
that prolong QT ... interval: • Class ... flecainide) • Class 3 ... Congenital long QT ... • Adult load: 2-
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... maintain ABC (airway ... mcg/Kg/minute, titrate ... #neurology #pediatrics ... #peds #algorithm
Neonatal Resuscitation - Airway and Breathing
Airway
 • Opened by placing the infants's head in a neutral
pressure-limited circuit (e.g ... inflation time 2- ... saturations - 2 ... #Breathing #Management ... #peds #pediatrics
Algorithm for Management of Head Injuries in Children
Primary survey:
 • Airway and cervical spine
 • Breathing
Algorithm for Management ... Primary survey: • Airway ... skull fracture, e.g ... #Algorithm #Management ... #peds
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management