SEC - GrepMed

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Sinus Arrhythmia - ECG Diagnosis
Remember in Sinus arrhythmia, the P to P varies by > 0.16

varies by > 0.16 sec

Richmond Agitation Sedation Scale
+4 - Combative, Violent, Immediate Danger to Staff
+3 - Very Agitated - Pulls

& Contact > 10 sec ... & Contact < 10 sec

Intraosseous (EZ-IO) Access in the Humeral Head of an adult

Rule of 45s:
- 45mm needle
- 45° angle

R atrium in 3 sec

Poor Skin Turgor in Hypovolemia on Physical Exam
Positive when >3 sec after 3 sec of pinching

Positive when >3 sec ... after 3 sec of

Dense Spontaneous Echo Contrast (SEC) on POCUS
Rouleaux flow on POCUS. RBCs stick together to form

Echo Contrast (SEC ... @LDCritCare #SEC

Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
• Broad-based and symmetrical, usually

: Qwave ≥ 0.02 sec ... Q wave ≥ 0.03 sec

Wide Complex Tachycardia - ECG Definition and Causes
• Wide Complex Tachycardia (WCT) is a cardiac

QRS width ≥ 0.12 sec

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

velocity of 9.5 cm/sec

First Degree AV Block
• The P wave is normal in morphology.
• PR interval greater

greater than 0.20 sec

Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or

quickly (30-90 sec ... CO during a 15 sec

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