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The Cambridge Guide to ECG/EKG Interpretation
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What you will learn

Understand how ECGs are performed

Understand what the ECG trace is showing

Understand a comprehensive, beginner-friendly approach to ECG interpretation

Avoid the reliance on mnemonics and tricks for ECG interpretation

Be able to confidently approach any ECG and systematically analyse it

Description

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Are you confused by ECGs? Feel like there’s no easy way in? Mixing up your heart blocks and your atrial fibrillations?

This course is aimed at medical students, nursing students and paramedic/EMT students who want to build their understanding of ECGs and build their confidence in interpreting them and making diagnoses.

When I was first taught about ECGs, I was taught by senior doctors who didn’t understand what medical students do and don’t know. I developed this system for ECG interpretation and I have taught to many other students at the University of Cambridge.

It works by building a first-principles understanding of how an ECG works, allowing us to intuitively understand the most confusing elements of ECGs, without having to rely on mnemonics and quick tricks. Patients don’t fit into textbook definitions a lot of the time, and these shortcuts often fail in real life. Only by a deep, true understanding can we confidently tackle any ECG in or out of the exam hall.

Course structure:

  • What is an ECG? What are electrodes and leads?
  • What is the line on the paper showing us?
  • How to systematically deconstruct an ECG?
    • Rate, rhythm and axis
      • Quiz
    • P waves and atrial arrhythmias
    • The PR interval and heart blocks
    • The QRS complex and bundle branch blocks
    • The ST segment and STEMIs
      • Quiz
    • T waves and NSTEMIs
    • The QT segment
  • Practice exam: six worked examples of full ECG interpretations testing the whole course
  • Spot diagnoses: the scary and the unusual – diagnoses to save a life and to impress in exams
English
language

Content

ECG fundamentals: electrodes, leads and territories

What is different about this course?
ECG electrodes
ECG leads
ECG territories

The crucial point: what does the trace show?

The crucial point
The basic structure of the ECG trace
Making sense of the ECG trace

Rate, rhythm and axis

Rate and rhythm
Axis
Rate, rhythm and axis quiz

Systematic dissection of the ECG

P waves and atrial arrhythmias
The PR interval and heart blocks
The QRS complex and bundle branch blocks
The ST segment and STEMI
STEMI quiz
T waves
Myocardial ischaemia and NSTEMI
The QT segment

Spot diagnoses

Spot diagnoses: ventricular fibrillation
Spot diagnoses: ventricular tachycardia
Spot diagnoses: torsades de pointes
Spot diagnoses: Wolff-Parkinson White syndrome
Spot diagnoses: pericardial effusion
Spot diagnoses: pulmonary embolism
Spot diagnoses: hypothermia
Spot diagnoses: supraventricular tachycardia

Bringing it all together: a summary of performing full interpretations

Summary and example of full interpretation in practice
Full interpretation: six examples with worked solutions