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EKG Basics

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Basic EKG interpretation including lethal rhythms and basic ACLS protocols for such

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identify and label PR interval, QRS duration, QT interval, and ST segments; identify normal
conduction of the heart; interpret sinus, atrial, junctional, heart blocks, and ventricular
arrhythmias; identify initial ACLS treatment or monitor tech escalation; apply arrhythmia
interpretation to clinical practice.

SA Node - pacemaker of the heart
60-100 beats/min

PWave - 0.06-0.12 Atrial depolarization
PR Interval - 0.12-0.20 Start of atrial depolarization to start of ventricle depolarization (qrs)
Measure beginning of p wave to beginning of qrs
QRS: 0.06-0.12 Ventricle depolarization
TWave - Repolarization
QT Interval - 0.36-0.44 time required for ventricular repol and depol (contract and rest) measure
beginning of QRS to end of T wave
ST segment Early part of ventricular repol measure end of QRS to beginning of T wave
ST interval measure end of QRS to end of T wave

, Sinus Brady - Atropine 0.5mg - may repeat up to 3 mg, transcutaneous pacing if needed

A Fib - irregular, no p waves - 110-160
A Flutter - Sawtooth pattern with p waves

Heart Blocks:

1st Degree - PR interval long but regular if R is far from P you have a first degree
2nd Degree Type 1- P wave keeps getting longer then QRS is dropped
2nd Degree Type 2 - PR interval regular before QRS is dropped
3rd Degree - No relation between p and qrs = many p waves not many qrs

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December 11, 2025
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