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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 ... /QTC Interval: ... • QT interval is ... @AmyChung #EKG ... Interpretation #ECG
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ICD/pacer - QTc ... DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
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
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