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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

            • (b)

              Frothing (mouth and nose)

              • i)

                Blood tinged

              • ii)

                Foamy

      • 3.

        Heart sounds

        • a.

          Auscultatory sites

        • b.

          Identify S1, S2

    • C.

      Palpation

      • 1.

        Areas of crepitus or tenderness

      • 2.

        Thorax

      • 3.

        Epigastrium

        • a.

          Pulsation

        • b.

          Distention

  • V.

    Electrocardiographic (ECG) monitoring

    • A.

      Electrophysiology and wave forms

      • 1.

        Origination

      • 2.

        Production

      • 3.

        Relationship of cardiac events to wave forms

      • 4.

        Intervals

        • a.

          Normal

        • b.

          Clinical significance

      • 5.

        Segments

    • B.

      Leads and electrodes

      • 1.

        Electrode

      • 2.

        Leads

        • a.

          Anatomic positions

        • b.

          Correct placement

      • 3.

        Surfaces of heart and lead systems

        • a.

          Inferior

        • b.

          Left lateral

        • c.

          Anterior/ posterior

      • 4.

        Artifact

    • C.

      Standardization

      • 1.

        Amplitude

      • 2.

        Height

      • 3.

        Rate

        • a.

          Duration

        • b.

          Wave form

        • c.

          Segment

        • d.

          Complex

        • e.

          Interval

    • D.

      Wave form analysis

      • 1.

        Isoelectric

      • 2.

        Positive

      • 3.

        Negative

      • 4.

        Calculation of ECG heart rate

        • a.

          Regular rhythm

          • (1)

            ECG strip method

          • (2)

            "300" method

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

14

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