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Emergency Medicine · EMT / Paramedic · Healthcare and Nursing

Paramedic Cardiology and EKG Interpretation

Rhythm recognition, STEMI criteria, treatment of arrhythmias, and prehospital cardiac care protocols.

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39 basic cards for EMT / Paramedic Emergency Medicine. It opens with "What minimum ST-segment elevation in two or more contiguous limb leads meets" and "What minimum ST-segment elevation in two or more contiguous precordial (chest)". More Healthcare and Nursing decks are listed below.

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What minimum ST-segment elevation in two or more contiguous limb leads meets STEMI criteria?
Show answerAt least 1 mm (0.1 mV)
What minimum ST-segment elevation in two or more contiguous precordial (chest) leads meets STEMI criteria?
Show answerAt least 2 mm (0.2 mV)
Which EKG leads show changes in an inferior wall MI?
Show answerLeads II, III, and aVF
Which EKG leads show changes in an anterior wall MI?
Show answerLeads V1 through V4
Which EKG leads show changes in a lateral wall MI?
Show answerLeads I, aVL, V5, and V6
In a suspected inferior MI, which extra lead should be placed to check for right ventricular involvement?
Show answerLead V4R (right-sided V4)
Why is nitroglycerin withheld in a right ventricular infarction?
Show answerThe right ventricle depends on preload, so nitroglycerin can cause a severe drop in blood pressure
What EKG finding in leads V1-V2 suggests a posterior wall MI?
Show answerST depression with tall, broad R waves
What is the first-line drug for symptomatic bradycardia with a pulse?
Show answerAtropine
What is the adult IV dose of atropine for symptomatic bradycardia?
Show answer1 mg, repeated every 3 to 5 minutes up to a maximum of 3 mg
What intervention is used for symptomatic bradycardia that does not respond to atropine?
Show answerTranscutaneous pacing
What is the first-line drug for stable narrow-complex SVT?
Show answerAdenosine
What is the initial adult dose of adenosine for SVT?
Show answer6 mg rapid IV push, followed immediately by a saline flush
What is the second dose of adenosine if the first dose does not convert SVT?
Show answer12 mg rapid IV push
What bedside maneuvers can be tried before adenosine for stable SVT?
Show answerVagal maneuvers, such as Valsalva or carotid sinus massage

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