BLOCKS
Treat the PT not the ECG
FAST ECG's
SLOW
UGLY ECG's
100

ECG 3

Sinus Rhythm with 2nd degree AV Block (Mobitz 1)?

100

Your patient has an ECG as shown. (65)

Your patient feels drowsy and weak, and states they think they haven't had enough water. Patients family states that they are very tired compared to normal. 

Vitals

(HR as shown) RR 25, BP 70/55, SPO2 not reading. 

Follow the Bradycardic Protocol. Find the Cause -> in this case likely 2 degree AV Block Type 2. 

IV, Fluids, Sedation, Pacing. 

100

ECG 78

Sinus Tachycardia with a LBBB?

100

ECG 30

What is Sinus Bradycardia with a 1st degree AV Block and LBBB?

100

ECG 92

What is NSR, 1st degree AV Block, Ventricular Bigeminy? 

200

ECG 7

What is 3rd Degree AVB?

200

You patient is feeling like they have some indigestion. ECG as Shown (39). 

HR - (as shown)

SPO2 - 99%

BP - 110/65

RR - 18/min

Anteroseptal STEMI - IV, Fluids, Call Hospital for the Cath Lab. 

200

ECG 73

What is Sinus Tachycardia to SVT?

200

ECG 67

What is Sinus Bradycardia, 2:1 AVB, RBBB?

200

ECG 72

What is Sinus Bradycardia to a Ventricular Run to NSR. 

300

ECG 10

What is Sinus Rhythm with 2nd degree AV Block (Mobitz 2)?

300

Your Patient is wanting to go home. They are at the park and were playing with their grandchild. They got a little pale and felt weak. Their daughter was worried and called 911. ECG #8

BP - 120/75

RR - 16

HR - as shown

SPO2 - 99%

ST ELEVATION with Reciprocal Changes. 


Follow the STEMI Protocol.

300

ECG 71

What is NSR -> WCT -> PVC -> WCT -> Sinus Rhythm with PAC's?

300

ECG 18

What is Sinus Bradycardia with 2 degree AV Block Type 1, PAC Couplet, PAC?

300

ECG 62

What is Sinus Tachycardia, PVC's in Trigeminy?

400

ECG 58

What is Sinus Tachycardia, LBBB?

400

Your patient is found laying on the floor with GCS 8.

Pt has a pulse at the carotid as found on the ECG, and no radial. How do you proceed. ECG 82

Follow the tachycardia protocol. 

SYNCHRONIZED CARDIOVERSION NO DELAY

400

ECG 57

What is Atrial Fibrillation (RVR) with PVC's?

400

ECG 12

What is Sinus Bradycardia, WPW Pattern A

400

ECG 61

What is Sinus Rhythm with Frequent PVC's and one Ventricular Triplet?

500

ECG 13

What is Complete Heart Block?

500

Your patient feels like their heart is racing and hasn't taken their medications today!

They are incredibly anxious and want some ativan. 

Vitals all stable. 

Medications - Ozempic, metformin, metoprolol, bisoprolol, candesartan

ECG 45

Pt is GCS 15, so no cardioversion would be required yet. BP is stable.


Could call OLMC and get them to take the normal dose of Metoprolol. Check to see if they are on thinner. They need to be on thinners to reduce the risk of clots! 

500

ECG 27

What is Atrial Fibrillation with a RBBB?

500

ECG 35

What is ventricular pacing to sinus bradycardia?

500

ECG 51

What is Sinus Rhythm with Frequent Premature Ventricular Complexes - LBBB - LAFB - Bifasicular Block?