Author: Anna Pickens, MD (@AnnaEMin5, Creator of EM in 5) // Edited by: Alex Koyfman, MD (@EMHighAK), Brit Long, MD (@long_brit), and Manpreet Singh, MD (@MprizzleER)
Welcome to this edition of EMin5 with Dr. Anna Pickens. Today we cover the pediatric EKG. Enjoy the video!
Video:
Key Takeaway:
A systematic approach is essential. You know how to evaluate ECGs… Rate, rhythm, axis, intervals, waves, segments, abnormalities…
RV dominant early:
Axis is important and changes with age:
Normal EKG at 1 week: Right axis, Large R waves V1-V3, T-wave inversions in V1-V3
How about a closer look? Intervals change with age too!
Rate?
Example:
Remember… Normal EKG at 1 week: Right axis, Large R waves V1-V3, T-wave inversions in V1-V3
Further Reading:
- Lift in the Fast Lane: Pediatric ECG Interpretation
- Pediatric EM Morsels: Pediatric ECG
- Dr. Smith’s ECG Blog: Pediatric ECG Intervals
- PEM ED Podcast: Pediatric ECG Basics – Part 1 and Part 2
- Taming the SRU: Intro to Pediatric EKG
- emDOCs: Pediatric Syncope
