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Page 1: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Page 2: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Conduction Of The Heart

Page 3: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Wave forms and segments

Page 4: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

RHYTHM STRIP OVERVIEW

PR Interval

.12 TO .20

QRS complex<.12

= 0.04 sec

= 0.2 sec

= 1.0 sec

Page 5: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

RHYTHM STRIP OVERVIEWSystematic Approach

“USE THE 5 STEP APPROACH”

Rate

Normal

fast

slow

none

Rhythm

regular

reg. Irregular

irregular

Pwaves

1 P for every QRS

1 : 1

upright

uniform

biphasic

absent

PRI

normal

> . 12

< . 20

QRS

normal

< . 12

Page 6: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

RHYTHM STRIP OVERVIEW

Calculation of Heart Rate

Regular Irregular

Yes No Yes No

1) Count the # of large boxes between two R waves and Divide into 300

2) Count the # of small boxes between R waves and divide into 1500

Count the number of complete QRS complexes in a 6 second strip and X by ten, HOWEVER you must still note what the underlying rhythm is!

Page 7: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Page 8: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 9: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 10: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 11: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 12: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 13: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 14: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 15: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 16: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 17: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 18: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 19: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 20: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 21: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 22: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 23: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 24: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 25: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 26: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Page 27: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Rate_________________Rhythm________________

P waves______________PRI___________________

QRS_________________Interp._________________

Treatment______________________________________________________________________________

Page 28: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Page 29: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Answers

1. Junctional Escape

2. Atrial fibrillation with Rapid Ventricular Response

3. Complete Heart Block (3rd degree block)

4. Sinus Rhythm

5. Sinus Rhythm with PVC’s

6. 1st Degree block

7. Mobitz Type I (2nd degree type 1; Wenckebach)

8. Atrial Tachycardia

9. Ventricular Paced Rhythm

10.Ventricular Fibrillation

Page 30: Conduction Of The Heart - Professional Ems Education · RHYTHM STRIP OVERVIEW Calculation of Heart Rate Regular Irregular Yes No Yes No 1) Count the # of large boxes between two R

Answers

11. Sinus Rhythm with PVC’

12.Ventricular Tachycardia

13.Sinus Rhythm with Couplet PVC’s

14.Asystole

15.Torsades De Pointe

16.Sinus Bradycardia with Couplet PVC’s

17.Atrial Flutter

18.Mobitz II (Second degree type II)

19.Ventricular Paced Rhythm

20.Idioventricular

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