Kiwiology 195 Posted April 3, 2014 Share Posted April 3, 2014 Junctional rhythm about 75/min Regular Axis normal No acute ST or T wave changes Don't see any pathologic Q waves Give her two hardenupacetomol and leave her at home. Quote Link to post Share on other sites
triemal04 44 Posted April 3, 2014 Share Posted April 3, 2014 Probably junctional. It'd be a stretch but maaaybe it could be argued that it's a WAP but that'd be a stretch I think, Quote Link to post Share on other sites
Caduceus 24 Posted April 4, 2014 Share Posted April 4, 2014 So, p-waves indicate the electrical stimulation of the atria to pump blood into the ventricles. When they're inverted, it means that the rhythm is junctional or ectopic. I will be back when I figure out what ectopic and junctional mean. 1 Quote Link to post Share on other sites
island emt 315 Posted April 4, 2014 Share Posted April 4, 2014 you are doing well young grasshopper Quote Link to post Share on other sites
Caduceus 24 Posted April 4, 2014 Share Posted April 4, 2014 I think I have this figured out. A junctional rhythm can occur when the sinoatrial node's conduction path (?) is blocked, and so the heart receives its impulse to beat from the atrioventricular node. If the heart rate is over 60 bpm, it is an accelerated junctional rhythm, that "commonly supersedes a clinically bradycardic sinus node." An ectopic rhythm is an irregular heart rhythm due to a premature heart beat. Quote Link to post Share on other sites
Just Plain Ruff 477 Posted April 5, 2014 Share Posted April 5, 2014 I think I have this figured out. A junctional rhythm can occur when the sinoatrial node's conduction path (?) is blocked, and so the heart receives its impulse to beat from the atrioventricular node. If the heart rate is over 60 bpm, it is an accelerated junctional rhythm, that "commonly supersedes a clinically bradycardic sinus node." An ectopic rhythm is an irregular heart rhythm due to a premature heart beat. Keep up the good work Cad, All, Caduceus is making us proud, she came in here an unknown wanting to get training in EMS and look at her. She's really learning. Wouldn't it be great if all our students and new medics/emt's were as into learning as she is. Keep up the good work 2 Quote Link to post Share on other sites
scubanurse 230 Posted April 5, 2014 Share Posted April 5, 2014 Keep it up girl! Quote Link to post Share on other sites
Caduceus 24 Posted April 5, 2014 Share Posted April 5, 2014 Thank you guys! I will! Maybe I'll try my hand at a few scenarios, see what I can learn from that? Quote Link to post Share on other sites
jwiley40 7 Posted April 19, 2014 Share Posted April 19, 2014 Sometimes the best way to learn! Quote Link to post Share on other sites
Caduceus 24 Posted April 19, 2014 Share Posted April 19, 2014 That's what I'm here for! To learn that is But really I would like to thank everyone for their patience. I know at times I can probably be a frustrating sixteen y/o who is pretty ignorant about EMS. But I am here to learn and I am glad that you are all honest with me when I am wrong. I want to put my heart and soul (and brain) into this career, and you're always open with me and ready to help. Thanks to everyone here who has helped me. I will repay you by becoming the best EMS provider I possibly can be. And then getting even better. 1 Quote Link to post Share on other sites
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