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Tom Bouthillet
United States
Registrace 24. 12. 2006
Co-survivor, Battalion Chief of EMS (Ret.), Citizen of U.S., Canada, Ireland.
Acute Coronary Syndromes, STEMI Recognition, STEMI Mimics
Tom breaks down Acute Coronary Syndromes, STEMI Recognition, and STEMI Mimics in this lecture from Refresh 2021.
00:00:00 Acute Coronary Syndromes
00:22:47 STEMI Recognition
01:09:56 STEMI Mimics
00:00:00 Acute Coronary Syndromes
00:22:47 STEMI Recognition
01:09:56 STEMI Mimics
zhlédnutí: 23 350
Video
Left Ventricular Hypertrophy
zhlédnutí 24KPřed 3 lety
Left ventricular hypertrophy • How to identify LVH on the 12-lead ECG • LVH voltage criteria for the precordial leads and limb leads • How to identify a “strain pattern” or secondary ST/T-wave abnormality • Why LVH is a STEMI and Wellens’ mimic • STEMI / OMI in the presence of left ventricular hypertrophy LVH with anterior ST-elevation. When is it anterior STEMI? hqmeded-ecg.blogspot.com/2015/1...
Left Bundle Branch Block and Sgarbossa's Criteria
zhlédnutí 46KPřed 3 lety
0:00 - Introduction 0:50 - Learning Objectives 1:44 - How to identify LBBB on the 12-lead ECG 16:06 - Rule of appropriate ST-segment and T-wave discordance 19:33 - STEMI and LBBB (Sgarbossa Criteria) 24:01 - Smith's modification to Sgarbossa's criteria 28:26 - Changes on serial 12-lead ECGs 29:20 - Wide complex tachycardias with LBBB morphology #Electrocardiography #12LeadECG #ECGInterpretation...
Right Bundle Branch Block and Bifascicular Block
zhlédnutí 53KPřed 3 lety
0:00 - Introduction 0:15 - Electrical Conduction System of the Heart 3:40 - Right Bundle Branch Block 13:18 - Rule of Appropriate T-Wave Discordance 16:20 - STEMI and Right Bundle Branch Block 17:30 - Bifascicular Block 20:52 - Wide Complex Tachycardias with RBBB Morphology in lead V1 #Electrocardiography #ECGinterpretation #12LeadECG #ACLS
Cardiac Axis Determination
zhlédnutí 83KPřed 3 lety
0:00 Introduction 0:30 Why learn axis? 1:53 What is the heart’s electrical axis? 5:00 Normal axis 16:13 Physiologic left axis deviation 18:30 Split axis 20:35 Left axis deviation 24:55 Right axis deviation 27:53 Extreme right axis deviation 31:14 Practice session Tom Bouthillet shows how to estimate the QRS axis in the frontal plane within 5-10 degrees at a glance! Three different methods for a...
Large Block Method for Heart Rate Determination
zhlédnutí 4,6KPřed 3 lety
Tom Bouthillet discusses the large block method for heart rate determination and provides an example where this information could be life saving! #Electrocardiography #12LeadECG #ECGInterpretation #ACLS
6-Step Method for 12-Lead ECG Interpretation
zhlédnutí 55KPřed 3 lety
Tom Bouthillet demonstrates the 6-step method for 12-lead ECG interpretation using a normal 12-lead ECG. 0:00 - Introduction 0:35 - Why the normal 12-lead ECG? 1:45 - Six Step Method 4:02 - Rate and Rhythm 7:23 - Axis Determination 14:04 - Transition and R-wave progression 17:06 - Intervals (PR, QRS, QT) 23:18 - Morphology (BBB, IVCD) 25:35 - STEMI Mimics 28:33 - Ischemia, Injury, Infarct 31:17...
How to obtain a 12-lead ECG with proper electrode placement and excellent data quality
zhlédnutí 79KPřed 3 lety
Tom Bouthillet demonstrates how to obtain a 12-lead ECG with accurate electrode placement and excellent data quality while visiting Dearborn Fire Department. #12LeadECG #Electrocardiography #EMS #LeadPlacement #ACLS
SALAD Decontamination of the iGel
zhlédnutí 11KPřed 5 lety
Jim DuCanto, M.D. demonstrates the SALAD technique for decontamination of the iGel at CAMP Hilton Head! This is a must see video you won't want to miss.
High Performance CPR - Hilton Head Island Fire Rescue
zhlédnutí 16KPřed 6 lety
High Performance CPR demonstration at the South Carolina Resuscitation Academy! #CPR #Paramedics #EMS #Resuscitation
Hurricane Matthew - Hilton Head Island
zhlédnutí 37KPřed 7 lety
Hilton Head Island Fire Rescue reentry onto the island. Damage and recovery effort.
Ed Harris beats Mary Elizabeth Mastrantonio back to life in The Abyss
zhlédnutí 87KPřed 14 lety
Ed Harris beats Mary Elizabeth Mastrantonio back to life in The Abyss
I didn't understand how to use the star of life
Then draw a horizontal line between lead II and aVL and an X between lead I and aVF and lead III and aVR and remember that pattern.
This one good for NOT being the extreme example with more length of proximal narrowing for a perfect crab pot. Are you aortic stenosis fans looking closely👀???
You are an amazing educator!
Good lecture
You are an amazing teacher
Best. Thanks
Thank you so much for teaching axis using a very easy and simple method. This is the first time I am listening to your teaching, and I really love it.
Its amazing really
Just subbed. Great stuff
Thank you very informative watching from libya 🇱🇾 Medical ICU
Really amazing thanks doctor
THANK YOU. EXCELLENT LECTURE !
Thank you. Excellent explanation.
Very beneficial
Great discussion...helped me.
This video by far is the most useful and understandable one compared to others. I love it and thank you !
I’m glad it was helpful!
When Britain first at Heaven's Command Arose from out the azure main Arose arose from out the azure main This was the Charter The Charter of the Land And Guardian Angels sang this strain Rule Britannia, Britannia rule the waves ! Britons never never never shall be slaves !
Yeek, I have a right bundle branch block, left anterior fascicular block and bifascicular block. Can I make it through general anesthesia for a knee replacement?
A lot of folks have a bifascicular block and it doesn't cause a problem. Others are high risk because they experience syncopal episodes or transient 3rd degree AV block. If you take oral antiarrhythmics, it might suppress the underlying escape rhythm. But this is why pre-op risk assessments take place. You should talk to your physicians about it.
Excellent video mate
Awesome video, sir. I was struggling to understand bundle branch blocks, and this really helped!
Amazing explanation. I never had such clear understanding. May God bless you.
You can give 02 or ventilate with an airway full of fluid or blood, so you have to clear it first. Try ventilating with BVM, you only fill the lungs with fluid !
By far THE BEST explanation I have ever heard! Thanks!
Tom loving your videos… I am a Hospitalist. Please post more
I've been thinking about it! Thank you for the feedback.
Many thanks.
As a woman, thankyou for being so kind and considerate. Also, if a female medical professional is present it would be easier for you guys to navigate the situation.
There have been several occasions where having a female crew member would have been ideal.
Such a God sent. I read this isoelectric method on LFL website it didn’t quite click. Thank you
As a veteran emergency physician educator and medical illustrator this is an excellent presentation. Keep up the great work.
Thank you, MultiCII! I appreciate the comment and encouragement.
wow, amazing ! Thank you
Interesting
👏👏👏
Just brilliant ty❤
Thanx sir
amazing video, keep going my bossman!
Great instructor...always appreciate your lectures and time
Where is AVF? The lead one is perpendicular to Avl or AvF? AvF is located the bottome . Confusing for me
Whatever that stuff is that just flooded in there is exactly how I would imagine the way I feel when I’m sad. Like no joke I get a physical chest thing when I’m really sad but hold in my tears. What does it mean.
your voice and explanation and presentation is amazing, thanks
an excellent video!! thanks a lot
Ventricolulography showing "octopus trapping pot".
I am a cardiologist, and I am enjoying your videos so much
I'm glad to know that! Thank you for watching.
Well explained refresher material. Much appreciated.
Thank you for this clear, concise and visually well-illustrated video!
Thank you so much!
Thank you, I really appreciate you for being patient to make this video and for being extremely thorough ❤❤❤.
I'm not even in medical school and this is very comprehensive. Thank you. Trying to understand this as I am experiencing this but yet my echo came back normal.
Thank you so much! I like that “speed method” diagram where can I find that to print/laminate till its committed to memory?
www.ecgmedicaltraining.com/wp-content/uploads/2016/02/rapid-axis-1024x411.png
Incredibile!
Paramedic here in Kuwait, even after 2.5 years on the job. Your video is a great overview! Thank you Tom. :D
My pleasure! I’m glad you got something out of it.
I have a question though, instead of going through difficulty and further complicate in determining the axis with the split method, you could have used the quadrant method but i understand youre only trying to show the difft ways. Ive learned alot in this video:)