Description
Normal Sinus Rhythm 1
Significance/Treatment required
None/None
Sinus Bradycardia
1st Degree AV Block
None/None unless signs and
symptoms of hypoperfusion/Atropine
None/None unless signs and
symptoms of hypoperfusion/alleviation of pain,
correction of fluid balance, beta
blockade or cardioversion
None/None unless signs and
symptoms of hypoperfusion/alleviation of pain,
correction of fluid balance, beta
blockade or cardioversion
Loss of atrial kick/None unless signs
and symptoms of hypo-perfusion/
beta blockade or cardioversion,
transfer to an acute care facility
None/None unless signs and
symptoms of hypo-perfusion/, beta
blockade or cardioversion
None/None
2nd Degree AV Block Type 1
None/None
2nd Degree AV Block Type 2
None/None but be aware this often
deteriorates to 3rd degree block
Rate too slow to give an appropriate
cardiac output/atropine may help +Usually they need pacing
Loss of atrial Kick/no treatment
needed unless there is also
bradycardia causing signs and
symptoms of hypoperfusion/atropine or pacing
If pulseless there is No Cardiac
output/CPR and ALS protocol
If there is a pulse rate control via
lidocaine or beta blockers may be
necessary
There is No Cardiac output/CPR and
ALS protocol
Sinus Tachycardia
Super Ventricular Tachycardia
Atrial Fibrillation
Atrial Flutter
3rd Degree AV Block
Junctional Rhythm
Ventricular Tachycardia
Ventricular Fibrillation
P-wave asystole and Asystole
There is No Cardiac output/CPR and
ALS protocol
Torsades de pointes
There is No Cardiac output/CPR and
ALS protocol
ST Elevation ( MI)
This means the patient is having an
MI.
Single PVC’s not much significance,
couplets and triplets can trigger vfib/couplets and triplets consider
lidocaine
Not much acute significance but
patients can feel very poorly/no
acute treatment required
PVC’s
PAC’s
ECG Acute Interventions Chart