Black Belt ECG 2.0 (CME VIDEOS)

Topics :

Video 1 – White Belt

• Discuss the sympathetic nervous system, “Staying Alive” response, and the differences between inotropes and chronotropes.
• Parasympathetic nervous system and the role of the Vagus nerve (“Leash on dog”). How does atropine work and anticholinergic side effects?
• What are the antiarrhythmic drugs? Vaughan William’s Classification of antiarrhythmic drugs. How do tricyclic antidepressants work? Amiodarone and the toxicities
• Risk Factor assessment – 3 causes of JVD – Difference between a simple and tension pneumothorax – Anatomy of the Heart

Video 2 – Yellow Belt

• Why do we put a patient on a monitor? Difference between Unsynchronized and Synchronized shock – “R on T” phenomenon. When do we shock?
• RR, PP, QQ System: How to calculate heart rate-Six-second method vs. Three-some method
• QRS complex: Why is the QRS complex wide? Description of the mnemonic CVS – Description of the Bundle Branch Block Man Method – Is this V-tach patient alive or dead? Difference between V-tach and VFib – Hyperkalemia on ECG.
• What is the QT interval?

Video 3 – Green Belt

• Introduction to sinus tachycardia/bradycardia – Causes of tachycardia: Discussion on mnemonic PHAT HADES – Treat the causes of tachycardia – Importance of vital signs and asking important questions –  First encounter with mnemonic HORID.
• Why are HGB & HCT important? Who’s at risk of acute bleeding and what to do? Discussion on Trendelenburg position – How to take orthostatic vital signs and their importance
• How to diagnose ventricular hypertrophy – The importance of the R & S wave on ECG –  Sokolow Index as it relates to left ventricular hypertrophy – Discussion on the 3 criteria of right ventricle hypertrophy
• The importance of addressing potassium – Causes of metabolic acidosis with the mnemonic KUSSMAL – ECG changes with hyperkalemia – How to treat hyperkalemia and the methods of lowering potassium

Video 4 – Blue Belt

• Causes of AFib – 3 caveats to diagnosing AFib – How do emboli relate to AFib – Treatment of AFib – Discussion on the CHADS2 Score.
• How to diagnose SVT – Treatment of SVT – Role of adenosine
• Steps of ACLS: 3 reasons for no pulse – What 2 mechanisms save lives? How to do CPR – Discussion of the mnemonic PAL – Pyramid of the causes of PEA and the description of the mnemonic HEAD – Common reversal agents – How to confirm asystole – How to fix a lethal arrhythmia
• Second discussion of where the heart blocks are located and the vagus nerve – Heart blocks are defined by the PR interval – 3 ways to deliver energy to a patient with a heart block – Heart blocks on ECG

Video 5 – Red Belt

• When should you order a 12 lead ECG?  Who is your PAPPA mnemonic – Discussion of HORID mnemonic – Approach to 12 lead ECG – How to confirm sinus rhythm – Discussion of John’s “Two-fer Rule” – Describe the contiguous leads – Visual presentation of the cardiac blood flow hand mnemonic
• Learn where to draw the isoelectric lines – What does a Q-wave represent? 4 clinical areas of a ECG
• Discussion of ST elevation and APPLE mnemonic: STEMI presentation – 3 criteria to diagnose a MI – STEMI vs. NSTEMI – Red flags of chest pain with mnemonic DRIVE – STEMI on ECG Discussion of chest pain pearls
• Discussion of inverted T-waves with SLIP mnemonic: Presentation of pulmonary embolism – What is S1Q3T3?

Video 6 – Black Belt

• John’s syncope rules – Discussion of PERC rules – Discussion of murmurs – Mnemonics to remember different murmurs: S=MIAS and AIMS=D – Buzz words for CHF
• How does a stroke present? Discuss how to diagnose a stroke – FLEAS mnemonic to help with stroke signs and symptoms
• 6 ECG findings that kill patients with syncope and HAPPY mnemonic – Discussion of  obstructive cardiomyopathy – Why are prolonged QT waves bad? Discussion on WPW – Discussion on Brugada Syndrome
• What is Takotsubo cardiomyopathy and what does it look like on ECG? Pearls of Wellen’s sign – Discussion on De Winter’s T-waves