Tom Bouthillet
Tom Bouthillet
  • Видео 16
  • Просмотров 603 700
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
Просмотров: 24 343

Видео

Left Ventricular Hypertrophy
Просмотров 25 тыс.4 года назад
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
Просмотров 48 тыс.4 года назад
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
Просмотров 58 тыс.4 года назад
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
Просмотров 91 тыс.4 года назад
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
Просмотров 4,9 тыс.4 года назад
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
Просмотров 58 тыс.4 года назад
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
Просмотров 87 тыс.4 года назад
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
Просмотров 12 тыс.6 лет назад
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
Просмотров 17 тыс.7 лет назад
High Performance CPR demonstration at the South Carolina Resuscitation Academy! #CPR #Paramedics #EMS #Resuscitation
Hurricane Matthew - Hilton Head Island
Просмотров 37 тыс.8 лет назад
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
Просмотров 89 тыс.15 лет назад
Ed Harris beats Mary Elizabeth Mastrantonio back to life in The Abyss

Комментарии

  • @lucyalvarez1288
    @lucyalvarez1288 9 дней назад

    This video is GOLD THANK YOU

  • @aceatlos4849
    @aceatlos4849 14 дней назад

    Such a good video, so well explained, i'm speechless. Thank you and congrats!!!

    • @TomBouthillet
      @TomBouthillet 14 дней назад

      That's very kind of you. Thank you so much.

  • @paulherter4827
    @paulherter4827 Месяц назад

    You are so patient and clear - never seen such a good explanation ever. thanks for those brilliant methods! EKG getting a new face :D

  • @cherinepowell5298
    @cherinepowell5298 Месяц назад

    This is the only video that helped me to understand axis deviation. Excellent!

  • @diandian9827
    @diandian9827 2 месяца назад

    I like the video, but I admit I was too dense to quite get what you meant by "split the difference" when applying the precordial leads.

    • @TomBouthillet
      @TomBouthillet 2 месяца назад

      @@diandian9827 If you “split the difference” between lead V4 and V6 it means you select the half way point for lead V5. Right in middle.

  • @cyclethar_1
    @cyclethar_1 2 месяца назад

    Very clear presentation. Thank you

  • @abudaniyal715
    @abudaniyal715 2 месяца назад

    Thanks, very helpful.

  • @abudaniyal715
    @abudaniyal715 2 месяца назад

    Thanks

  • @abudaniyal715
    @abudaniyal715 2 месяца назад

    Thanks

  • @abudaniyal715
    @abudaniyal715 2 месяца назад

    Helped me a lot, thanks

  • @Sk1pperCS
    @Sk1pperCS 2 месяца назад

    Thanks so much. I hope you post more!

  • @LilianaKolvites
    @LilianaKolvites 2 месяца назад

    you have opened my eyes, I was never too sure how to read axis deviation and this has HELPED TREMENDOUSLY! thank you So SO much!

  • @umairshamas1606
    @umairshamas1606 3 месяца назад

    Best thing on youtube.

  • @danashultz3184
    @danashultz3184 3 месяца назад

    Thank you thank you, I’m a 67 year old woman and I have had 2 or 3 EKG’s no one in the heart drs. Office said anything I have right bundle branch with left axis- bifascicular it is very scary, I don’t want a bad heart, is there anyway that it could be possible to fix it, I’m nervous and scared, but I believe in the Lord JESUS Christ and I will be praying about this, I am so so glad I found you on RUclips, God bless you

    • @TomBouthillet
      @TomBouthillet 3 месяца назад

      @@danashultz3184 Many patients do just fine with bifascicular block. But when it’s associated with syncope (fainting) it can be an indication for a pacemaker. This is not medical advice. Just a general comment. You should follow up with a qualified physician.

  • @sarahcunnane5232
    @sarahcunnane5232 3 месяца назад

    Paramedic from Canada, been on the road for a year and a half and I’ve been looking for material to refresh my mind and keep me on my toes when it comes to stemi/mimics! This was one of the best videos I’ve come across!

  • @ShaareiZoharDaas
    @ShaareiZoharDaas 3 месяца назад

    Thank you for this ❤

  • @salwasalih3241
    @salwasalih3241 4 месяца назад

    Great lecture. Thank you

  • @zanyarqadir6625
    @zanyarqadir6625 4 месяца назад

    I am a junior doctor resident in emergencies, and your videos were so helpful to me, thanks alot

  • @ssenabulyarobert7820
    @ssenabulyarobert7820 5 месяцев назад

    I didn't understand how to use the star of life

    • @TomBouthillet
      @TomBouthillet 5 месяцев назад

      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.

  • @NoReplyNeededNotKidding
    @NoReplyNeededNotKidding 5 месяцев назад

    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👀???

  • @nikhilanish9864
    @nikhilanish9864 5 месяцев назад

    You are an amazing educator!

  • @ssenabulyarobert7820
    @ssenabulyarobert7820 5 месяцев назад

    Good lecture

  • @nikhilanish9864
    @nikhilanish9864 5 месяцев назад

    You are an amazing teacher

  • @touseefbeig915
    @touseefbeig915 6 месяцев назад

    Best. Thanks

  • @ramamaniMarimuthu
    @ramamaniMarimuthu 6 месяцев назад

    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.

    • @TomBouthillet
      @TomBouthillet 14 дней назад

      Thanks for the positive feedback!

  • @princecharming7315
    @princecharming7315 6 месяцев назад

    Its amazing really

  • @bradleygonzalez1160
    @bradleygonzalez1160 7 месяцев назад

    Just subbed. Great stuff

  • @ahmedhamma7455
    @ahmedhamma7455 7 месяцев назад

    Thank you very informative watching from libya 🇱🇾 Medical ICU

  • @ahmedhamma7455
    @ahmedhamma7455 7 месяцев назад

    Really amazing thanks doctor

  • @NuriaBarreras
    @NuriaBarreras 7 месяцев назад

    THANK YOU. EXCELLENT LECTURE !

  • @NuriaBarreras
    @NuriaBarreras 7 месяцев назад

    Thank you. Excellent explanation.

  • @samjam1817
    @samjam1817 7 месяцев назад

    Very beneficial

  • @Xman695
    @Xman695 8 месяцев назад

    Great discussion...helped me.

  • @ilayda5524
    @ilayda5524 8 месяцев назад

    This video by far is the most useful and understandable one compared to others. I love it and thank you !

  • @christophermichaelclarence6003
    @christophermichaelclarence6003 8 месяцев назад

    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 !

  • @wagwag630
    @wagwag630 8 месяцев назад

    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?

    • @TomBouthillet
      @TomBouthillet 8 месяцев назад

      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.

  • @JibrilIbrahim-np4qi
    @JibrilIbrahim-np4qi 8 месяцев назад

    Excellent video mate

  • @murvygoaz5903
    @murvygoaz5903 8 месяцев назад

    Awesome video, sir. I was struggling to understand bundle branch blocks, and this really helped!

  • @tesneemmuhammad279
    @tesneemmuhammad279 9 месяцев назад

    Amazing explanation. I never had such clear understanding. May God bless you.

  • @PaulAlsop-k5j
    @PaulAlsop-k5j 9 месяцев назад

    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 !

  • @ainelloydiaz7320
    @ainelloydiaz7320 10 месяцев назад

    By far THE BEST explanation I have ever heard! Thanks!

  • @rewatiteeparti6588
    @rewatiteeparti6588 10 месяцев назад

    Tom loving your videos… I am a Hospitalist. Please post more

    • @TomBouthillet
      @TomBouthillet 9 месяцев назад

      I've been thinking about it! Thank you for the feedback.

  • @TheWar4money
    @TheWar4money 10 месяцев назад

    Many thanks.

  • @cantlieman
    @cantlieman 11 месяцев назад

    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.

    • @TomBouthillet
      @TomBouthillet 10 месяцев назад

      There have been several occasions where having a female crew member would have been ideal.

  • @atlantic7949
    @atlantic7949 11 месяцев назад

    Such a God sent. I read this isoelectric method on LFL website it didn’t quite click. Thank you

  • @EMedNation
    @EMedNation 11 месяцев назад

    As a veteran emergency physician educator and medical illustrator this is an excellent presentation. Keep up the great work.

    • @TomBouthillet
      @TomBouthillet 11 месяцев назад

      Thank you, MultiCII! I appreciate the comment and encouragement.

  • @PerozoJeanPerozoJean
    @PerozoJeanPerozoJean 11 месяцев назад

    wow, amazing ! Thank you

  • @LoveEmmanuella00
    @LoveEmmanuella00 Год назад

    Interesting

  • @saliha6767
    @saliha6767 Год назад

    👏👏👏