Serious Cardiac Events.Serious Cardiac Events.

Aims and Objectives.Aims and Objectives.

Review physical situations underpinning Review physical situations underpinning serious cardiac abnormalities.serious cardiac abnormalities.

Understand related complications.Understand related complications. Understand common ECG appearances.Understand common ECG appearances. Review important actions to undertake in Review important actions to undertake in

these situations.these situations.

Acute MI.Acute MI.

Actions.Actions.

How the patient present?How the patient present? What difficulties might you have getting What difficulties might you have getting

ECG?ECG? What would you do?What would you do? What treatment / what would happen next?What treatment / what would happen next?

WHAT COULD HAPPEN NEXT?WHAT COULD HAPPEN NEXT?

Possibly this?Possibly this?

What would you do?What would you do?

Or possibly this?Or possibly this?

What would you do?What would you do?

Could this happen?Could this happen?

What would you do?What would you do?

This may be possible:This may be possible:

Caution??Caution??

Is it really?Is it really? Check leads.Check leads. Check patient.Check patient.

Usually looks more like this:Usually looks more like this:

Not completely flat baseline.Not completely flat baseline. Stop CPR to re-check rhythm.Stop CPR to re-check rhythm. Poor prognosis.Poor prognosis.

Sometimes patients feel poorly.Sometimes patients feel poorly.

Tips.Tips.

Learn to recognise basic rhythms.Learn to recognise basic rhythms. Learn morphology of acute MI.Learn morphology of acute MI. Understand process of ischemia.Understand process of ischemia. Treat patient - NOT ECG.Treat patient - NOT ECG. Know when you need help.Know when you need help. Better to get help than to miss something Better to get help than to miss something

important – always ASK if unsure.important – always ASK if unsure.

Conclusion.Conclusion.

Most common emergencies:Most common emergencies:– Acute MI.Acute MI.– Rhythm abnormalities:Rhythm abnormalities:

VFVF VTVT CHBCHB Fast AF, flutter, AV nodal tachy, WPW etcFast AF, flutter, AV nodal tachy, WPW etc AsystoleAsystole Severe bradycardia.Severe bradycardia.