The ECG song - Song and lyrics

S1 Q3 T3 From: Life in the Fast Lane http://lifeinthefastlane.com/ecg-library/pe/

<<Intro/Chorus

It’s ECGs,

Everybody reads ECGs,

GPs read ECGs,

Physicians read ECGs.

Rate, rhythm, axis,

LV hypertrophy.

First start at P,

Then QRST.

End Intro/Chorus*>>

The rate is easy,

Take 100 times 3,

then divide by large squares,

between two R-Rs you see.

The Rs from the rhythm strip,

Alternatively,

Can be multiplied by 6,

More time but more easy.

The next one is rhythm,

See if there’s a P

Then a QRS,

It’s sinus rhythm you see.

If it isn’t regular,

And there is no P

Then chances are

It’s AF you see.

*Chorus

If there’s a sawtooth,

or a pace of 150,

Then I would suggest

atrial flutter it be,

If the PR lengthens,

before each QRS,

drops one complex before resuming,

Then it’s Wenckebach.

If there’s one QRS,

after every 2 or 3 P,

Then it’s Mobitz II,

Heart block of 2^nd degree.

If PR is more than 200 ms,

heart block first degree,

If P and Q are dissociated,

Then it’s CHB.

*Chorus

Leads I and II usually,

Should both point up you see,

Otherwise see if the pattern is

LAD or RAD.

S in V1 or V2

Plus R in V5 or V6

Greater than 7 large squares,

LV hypertrophy.

Look for Q waves

Quarter of the QRS,

Two in the same territory

Could be an infarction past.

Less than 100 ms

QRS length should be

Otherwise a ventricular rate

or bad ventricular conduction it be.

*Chorus

If the QRS is long,

look for two rhythms you see,

MaRRow for right bundle

WiLLiaM LBBB.

Things are more complex

with a LBBB,

Hard to assess ST

Or LV hypertrophy.

If there is ischemia,

there can be depressed ST.

But if it is elevated,

It may be a STEMI.

Pericarditis has globally

elevated ST;

Ischemia or old infarcts

cause an inverted T

*Chorus

It is a massive pain

To assess prolonged QT

But it is important

To prevent polymorphic VT.

QT on root RR

Will give you QTc

Less than .45 for males

and .46 females see.

*Chorus

It’s S1 Q3 T3

a huge PE

and leads aVF, II and III

an inferior STEMI

If there’s a LBBB

Look at a prior ECG,

If it’s VF or VT,

Get the defib ready.

*Chorus

<END>

nucleophilic addition-elimination, 2014

Disclaimer: No responsibility will be taken for any harm as a result of following this song. This song should not be used for entire preparation of ECG training. Also learn about the different regions of the ECG, spotting SVT, VF, VT, right sided infarcts, and differentiating atrial and ventricular ectopics just to name a few other things. Or other things like ECG signs of hyper/hypokalemia and hypothermia, and the various more common signs of PE on ECG.

Edit to add: Youtube link to ECG song.