Asystole

Absence of electrical activity demonstrated by a straight ECG line.

Most students of dysrhythmia courses arrive with the claim that they are at least skilled in recognizing asystole. In fact, most of us have seen the proverbial straight line on countless television programs such as ER and movies such as Flatliners. Contrary to most of these story lines, a patient with asystole seldom regains a pulse.

Asystole is characterized by the absence of any waveforms. In reality, asystole is seldom a bone straight line until the patient has been without a pulse for some time. It is good practice to check lead integrity to ensure that the rhythm seen is not another case of disconnected leads. Progress through all of the leads available through your cardiac monitor. Also, increase the gain or size to ensure that fine electrical activity is not present.

In the process towards asystole, the occasional occurrence of grossly wide and progressively irregular QRS complexes forms an agonal rhythm. The presence of an agonal rhythm is as serious as asystole, prompting many health care practitioners to consider stopping any further attempts at resuscitation.

asystole

1. Six Second ECG Guidebook (2012), T Barill, p. 121, 189

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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
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Any Six Second ECG Course

12 Lead ECG & ACS

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Completion Card • • • •
Exam and Certification •
SkillStat 2U-able • • • •
Reference materials included • • • •
Dynamic ECG rhythm interpretation • • ○ ○
Static ECG rhythm interpretation • • ○ ○
Clinical Impact Mapping • • • ○
Acute Coronary Syndromes Overview • • ○
Acute Coronary Syndromes In-Depth • ○
ST Segment & T Wave Differential • ○
Identify Bundle Branch Blocks • ○
15 | 18 Lead View Mapping • •
Electrical Axis • •
R Wave Progression •
Left Bundle Branch Blocks with ACS •
Atypical Findings •
Acute Non-Ischemic Disease Conditions •
Special Cases •

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