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ECG

Transcript: ELECTRICAL CELLS pacemaker cells automaticity and conductivity generation and conduction of electrical impulses CARDIAC CELLS II (+) electrode V6 25 sm The limb electrodes RA - On the right arm, avoiding thick muscle LA – On the left arm this time. RL - On the right leg, lateral calf muscle LL- On the left leg this time. LL 5 Presented by: EMERGENCY ROOM DEPARTMENT Iligan Medical Center Hospital San Miguel Village, Pala-o, Iligan City Location: Right atrial wall inferior to the opening of SVC Function: Dominant pacemaker Physiologic heart rate Inherent rate: 60-100 beats/minute LEADS V1,V2,V3,V4,V5,V6 THEY ARE PLACED DIRECTLY ON THE CHEST. BECAUSE OF THEIR CLOSE PROXIMITY OF THE HEART, THEY DO NOT REQUIRE AUGMENTATION. Inferior to be continued... 25 sm HOW TO DO ELECTROCARDIOGRAPHY Sinus Node Standard Limb Leads Surface viewed Inferior 0.20s 1 The 6 chest electrodes V1 - Fourth intercostal space, right sternal border. V2 - Fourth intercostal space, left sternal border. V3 - Midway between V2 and V4. V4 - Fifth intercostal space, left midclavicular line. V5 - Level with V4, left anterior axillary line. V6 - Level with V4, left mid axillary line. The Electrocardiogram Analyzing a Rhythm Strip Atrial depolarization ANALYZING A RHYTHM STRIP Lead Left leg 1 The Electrical Conduction System Regularly Irregular V3 Right and Left (-) electrode Left arm Irregularly Irregular The Different Views Reflect The Angles At Which LEADS "LOOK" At The Heart And The Direction Of The Heart's Electrical Depolarization. Contraction of atria - P wave Ventricular depolarization - QRS complex Ventricular repolarization - T wave The ECG 12-lead system LA aVR aVL aVR aVF aVL LL Lateral RL V5 Note: Place the sensors on a smooth fleshy area of the upper arms and lower legs. Attach the limb leads. Left arm AV Node Assess the Rhythm 0.04 25 sm Left leg 25 sm MYOCARDIAL CELLS working cells mechanical cells contractility contraction and relaxation 4 Location: Interventricular septum Inherent rate: 20-40 beats/min Escape pacemaker 2 Records the hearts electrical activity The diagnostic tool of choice in order to investigate cardiac arrhythmias in most patients noninvasive and readily available THE SHAPE OF ECG V2 Time II 1 Record of electrical activity between 2 electrodes Has a negative (-) and positive (+) pole Types: 1. Standard limb leads 2. Augmented leads 3. Precordial leads (chest leads) 1. Place the patient in a supine or semi-Fowler's position. If the patient cannot tolerate being flat, you can do the ECG in a more upright position. 2. Instruct the patient to place their arms down by their side and to relax their shoulders. 3. Make sure the patient's legs are uncrossed. 4. Remove any electrical devices, such as cell phones, away from the patient as they may interfere with the machine. 5. If necessary shave the electrode areas before cleaning the exposed skin with alcohol for proper electrode adhesion. 6. If you're getting artifact in the limb leads, try having the patient sit on top of their hands. Causes of artifact: patient movement, loose/defective electrodes/apparatus, improper grounding. RA Sino-Atrial Node The electrocardiogram (ECG) is a representation of the electrical events of the cardiac cycle. Each event has a distinctive waveform the study of waveform can lead to greater insight into a patient’s cardiac pathophysiology. Bundle Branches (right and left) ECG Paper PRECORDIAL LEADS AV Junction 1 1 small square = 0.04 sec = 1 mm = 0.1 mV 1 big square = 0.2 sec 5 big squares = 1 sec 300 big squares = 1 min Ventricular Muscle CARDIAC CELLS These leads help to determine heart’s electrical axis. The limb leads and the augmented limb leads form the frontal plane. The precordial leads form the horizontal plane. Surface viewed Bundle of His What is an ECG? III Right arm Network of conducting strands beneath the ventricular myocardium Inherent rate: 20-40 beats/min Escape pacemaker Provides information about: Orientation of the heart in the chest Conduction disturbances Electrical effects of medications and electrolytes Presence of ischemic changes The ECG Waveforms BASIC ECG 1 Left arm I Learning Objectives (+) electrode RA Inferior The Electrocardiogram Left leg Assess the Rhythm V4 Atrioventricular node Lead The ECG Waveforms III Purkinje Fibers 3 V1 Voltage 25 sm Sino-atrial node 1mm or 0.1mV Rate, Rhythm and Waveforms aVF Right arm Define ECG and its importance Familiarize the Anatomy and Mechanism of Heart and its Conduction system Define terms related to ECG Demonstrate the proper ECG procedure and its Nursing Considerations Identify basic steps in analyzing a rhythm Identify common rhythm disturbances. Placement of electrodes Ventricular repolarization Augmented Leads The ECG and the 12-lead system Ventricular depolarization ANALYZING A RHYTHM STRIP LA Bundle of His Assess the Rhythm Measure the distance between 2 consecutive R-R intervals and compare that distance with the other R-R intervals PACEMAKERS OF THE HEART

ECG Presentation

Transcript: Presented by Emerald Communications Group Advertise in the UDK, the LJWorld, and Lawrence.com Place flyers in businesses around Lawrence Top Tweeter and guest of their choice. Top Pinterest Pinner and guest of their choice. Night-goers Social event Mixologists Local chefs and food makers Goal #3: Increase engagement and interaction between makers and guests. Strengths: Innovative Creative Inspiring Day Attendance Live tweeter Feature prominent makers on Twitter Maker hashtags “Maker of the Week” Tweet 2 to 3 times each day Post on FB 2 to 3 times each day Mission Statement: Threats: Same weekend as Kanrocksas Perception that the term maker only applies to one category Finding a way to advertise to a broad audience Night Attendance SWOT Analysis: Twitter Increase social media presence Target Audiences Day-goers Engagement and interaction on Facebook and Instagram "The Greatest Show and Tell on Earth" Goal #2: Increase attendance at Maker Faire: Kansas City 2013 by at least 25 percent. Welcome to Maker Faire: Kansas City 2013 Opportunities: Create and establish relationships between prospective makers, makers and the community Connect with the community and makers through social media Connect Kansas City with the make movement Increase touch-points between both KU students and the Lawrence community Headliner Local record holder Lego Crown Center Sweepstakes We strive to bring innovation, inspiration and creativity to our clients. We aim to facilitate conversation and transform our clients' ideas into reality. Sweepstakes Weaknesses: Insufficient use of social media Perceived as a kids only event Lack of awareness Remind attendees to tag Maker Faire: Kansas City in pictures and posts Reinforce attendees to use the hashtag #makesomething when posting pictures Creative Message: Goal 1: Increase the general awareness of Maker Faire: Kansas City especially among the Lawrence community and KU campus.

ECG Sample Presentation

Transcript: August 2016 Insights Innovation Implementation Retail Trade Disovery & Benchmarking John Ferramosca Who We Are WHO WE ARE Global Sales and Marketing strategy firm committed to brand, category, aisle and thought leadership. Brand Leadership BRAND LEADERSHIP Edgewood has helped build brands and categories from A to Z Diverse Channel Experience DIVERSE CHANNEL EXPERIENCE PATH TO SUCCESS Path to Success Insights Proprietary shopper insights platform, analysis and research methods Insights “The data and insights you provide are best in class… I definitely want to partner with you guys given the actionable insights you consistently provide.” - Senior Buyer “…the research you shared with us today [is] second to none.” - Category Manager Innovation Proven strategic innovation that generates award-winning results and competitive advantage Innovation “…(ECG) approach to managing the category was innovative, truly objective and most importantly…a benchmark for other thought leaders in our industry.” - Category Manager Implementation Champion your initiatives all the way to the customer Implementation “Edgewood’s insights and analysis are first rate. But where Edgewood really distinguishes themselves from the rest is the support they provide. They take a hands-on approach with us as a true partner... and the results are outstanding!” - Director of Category Management Award-Winning Retail Strategy Leadership Retail & Competitive Benchmarking OUR APPROACH Start with your research and “knowledge” Discuss knowledge gaps / learning plan Fill-in those gaps with our Discovery Assessment ‘Retail Competitive Assessment’ and ‘Shoppers Insights’. Assessments RETAIL TRADE DISCOVERY ASSESSMENTS “Edgewood’s business intelligence and insights were spot-on, helped us launch successfully, and saved us millions in trade spending efficiency and effectiveness.” - Brand Manager – leading manufacturer 1. Retail Dynamics and Shopping Environment 2. Retailer Perceptions, Requirements and Opportunities 3. Nature and Extent of Demand 4. Thought Leadership and keys to influence Retail 1. Competitive Profiles Initiatives Retailer perception SWOT Tendencies Likely response Competitive 2. Category Retail Viability Analysis (CRV™) 3. Trade Spending Profiles Cost of entry Cost to compete Trade rates Deal timing/frequency List cost and margins 1. Challenges and Opportunities 2. Go to Market Strategy Implications and Key Success Factors Assessment “We were attacked by a much larger competitor with a copy-cat product and heavy spending. Edgewood partnered with us to provide benchmarking, strategic and tactical support that not only defended our brand but raised it to new levels.” -Former President, Ferrero USA Best Practices Discovery BEST PRACTICE DISCOVERY TECHNIQUES Best Practice Retail Audits Shopper Observations Store Level Probes Retail Trade Probes Edgewood can utilize several techniques in performance of this assessment. All techniques guarantee confidentiality for client. Trade Probe Methodology Retailers probed in past few years for ECG Clients include: TRADE PROBE METHODOLOGY ECG has significant experience conducting interviews with buyers, category managers, directors and VPs at HQ, warehouse and store level. Includes interviews at dozens of major US retailers across many channels and categories. Interviews are conducted double blind. Both the retailer participating in the discussion and the ECG individual conducting the interview are unaware of the client on whose behalf these were held. This results in a more candid discussion. Proprietary process to gain unbiased and confidential insights directly from the retail trade concerning current or potential categories of interest. Case Studies The Situation Client category/brand languishing in QSRs/ Foodservice channel. Challenges to overcome: Low velocity High spoilage Low growth No strategy to improve Case Study: Transforming Go-to-Market Best Practice Success Developed enhanced in-store merchandising program Engaged retailer in collaboration Conducted controlled store test More insights/innovation from: Mystery Shopper store audits In-store operational interviews Trade channel expert probes Insights & Innovation Developed Go-to-Market Strategy, Enhanced Strategy/Program identifying and leveraging: Endogenous best practices Exogenous best practices Operational KSF’s Consumer interaction Sampling Store op friendly measures Insights & Innovation Results include dramatic improvements to sales, turns and operational success. Incremental Benefit (projected incremental benefit of best practices when applied) Implementation Potential Next Steps NEXT STEPS Discuss “Learning Plan” objectives Develop proposal and action plan Assess existing learning Customize shopper/retail research plan Field study supporting objectives Develop and present findings Provide perspective on implications and opportunities for innovation Edgewood's Commitment EDGEWOOD'S COMMITMENT Seasoned professionals with intimate knowledge

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