Medical Student Survival Skills

Philip Jevon is Honorary Clinical Lecturer at Birmingham Medical School and Academy Manager/Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK. Jayant Gupta is Consultant Cardiologist, Senior Academy Tutor, Walsall Healthcare NHS Trust, Manor Hospital, Walsall, UK.

• Preface viiAbout the companion website ix1 Introduction to ECG monitoring 12 Principles of ECG monitoring 33 Six stage approach to ECG interpretation 94 Sinus tachycardia 135 Sinus bradycardia 156 Sinus arrhythmia 177 Atrial ectopic beats 198 Atrial tachycardia 219 Atrial flutter 2310 Atrial fibrillation 2711 AV junctional ectopics 3112 AV junctional escape rhythm 3313 Junctional tachycardia 3514 Ventricular ectopics 3715 Idioventricular rhythm 4116 Ventricular tachycardia 4317 Torsades de pointes 4718 First degree AV block 4919 Second degree AV block Mobitz type I (Wenckebach phenomenon) 5120 Second degree AV block Mobitz type II 5321 Third degree (complete) AV block 5522 Ventricular fibrillation 5923 Ventricular standstill 6124 Asystole 6325 Recording a 12 lead ECG 6526 What the standard 12 lead ECG records 7127 Interpretation of a 12 lead ECG 7528 ECG changes associated with myocardial infarction 8129 ECG changes associated with myocardial ischaemia 8730 ECG changes associated with bundle branch block 9131 Wolff–Parkinson–White syndrome 97Appendix A: Resuscitation council (UK) bradycardia algorithm 99Appendix B: Resuscitation council (UK) tachycardia algorithm 101Appendix C: Resuscitation council (UK) advanced life support (ALS) algorithm 103Appendix D: Vagal manoeuvres 105Appendix E: Synchronised electrical cardioversion 107Appendix F: External (transcutaneous) pacing 111Appendix G: Procedure for transcutaneous pacing 113Appendix H: Definitions 115References 117Index 119

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