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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 ... 7) QRS Complex ... gracie_leo #ECG ... #peds #cardiology ... Electrocardiogram #EKG
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... Management Algorithm ... : HR > 180bpm ECG ... #Algorithm #peds ... #Pediatric #treatment
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
seizures without complete ... Lorazepam 0.1 mg/kg ... #treatment #algorithm ... #peds #pediatrics ... #neurology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Algorithm Drugs ... that prolong QT ... Donepezil Congenital long ... QT Syndrome Electrolyte ... Hypocalcemia (rarely) Treatment
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
PR longest before ... Brady Management ... summary #Diagnosis #EKG ... electrocardiogram #ecg ... #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... #management #cardiology ... #algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: QT interval ... This includes long ... QT syndrome or ... short QT syndrome ... #cardiology #differential