11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... Counterclockwise) Atrial ... leads: Sawtooth ... notched (usually not sawtooth ... #Flutter #aflutter
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... atrial activity ... typical inferior sawtooth ... CTI-independent flutter ... #Flutter #aflutter
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Inferior leads: Sawtooth ... Counterclockwise #Atrial ... #Flutter #aflutter
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... notched (usually not sawtooth ... Typical #Clockwise #Atrial ... #Flutter #aflutter
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
If see flutter p ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... #wide #narrow #algorithm
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Differential Diagnosis Algorithm ... tachycardia • Atrial ... flutter • AV ... flutter with variable ... Differential #Diagnosis #Algorithm
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... • Premature atrial ... Monofocal Ectopic Atrial ... • Multifocal Atrial ... Differential #Diagnosis #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic ... atrial tachycardia ... flutter or MAT ... management #cardiology #algorithm
Laryngospasm scenario. More needed than oxygen! PEEP! #Management #EM #Anesth #PCC #Laryngospasm #Algorithm #Complete #Partial
#Management #EM ... #Laryngospasm #Algorithm ... #Complete #Partial