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  • @user-rw9oj3du5m
    @user-rw9oj3du5m11 сағат бұрын

    Thank you so much for teaching axis using a very easy and simple method. This is the first time I am listening to your teaching, and I really love it.

  • @princecharming7315
    @princecharming731518 күн бұрын

    Its amazing really

  • @bradleygonzalez1160
    @bradleygonzalez116022 күн бұрын

    Just subbed. Great stuff

  • @ahmedhamma7455
    @ahmedhamma7455Ай бұрын

    Thank you very informative watching from libya 🇱🇾 Medical ICU

  • @ahmedhamma7455
    @ahmedhamma7455Ай бұрын

    Really amazing thanks doctor

  • @NuriaBarreras
    @NuriaBarrerasАй бұрын

    THANK YOU. EXCELLENT LECTURE !

  • @NuriaBarreras
    @NuriaBarrerasАй бұрын

    Thank you. Excellent explanation.

  • @samjam1817
    @samjam1817Ай бұрын

    Very beneficial

  • @Xman695
    @Xman695Ай бұрын

    Great discussion...helped me.

  • @ilayda5524
    @ilayda55242 ай бұрын

    This video by far is the most useful and understandable one compared to others. I love it and thank you !

  • @TomBouthillet
    @TomBouthilletАй бұрын

    I’m glad it was helpful!

  • @christophermichaelclarence6003
    @christophermichaelclarence60032 ай бұрын

    When Britain first at Heaven's Command Arose from out the azure main Arose arose from out the azure main This was the Charter The Charter of the Land And Guardian Angels sang this strain Rule Britannia, Britannia rule the waves ! Britons never never never shall be slaves !

  • @wagwag630
    @wagwag6302 ай бұрын

    Yeek, I have a right bundle branch block, left anterior fascicular block and bifascicular block. Can I make it through general anesthesia for a knee replacement?

  • @TomBouthillet
    @TomBouthillet2 ай бұрын

    A lot of folks have a bifascicular block and it doesn't cause a problem. Others are high risk because they experience syncopal episodes or transient 3rd degree AV block. If you take oral antiarrhythmics, it might suppress the underlying escape rhythm. But this is why pre-op risk assessments take place. You should talk to your physicians about it.

  • @JibrilIbrahim-np4qi
    @JibrilIbrahim-np4qi2 ай бұрын

    Excellent video mate

  • @murvygoaz5903
    @murvygoaz59032 ай бұрын

    Awesome video, sir. I was struggling to understand bundle branch blocks, and this really helped!

  • @tesneemmuhammad279
    @tesneemmuhammad2792 ай бұрын

    Amazing explanation. I never had such clear understanding. May God bless you.

  • @user-mm8tj8xk3g
    @user-mm8tj8xk3g3 ай бұрын

    You can give 02 or ventilate with an airway full of fluid or blood, so you have to clear it first. Try ventilating with BVM, you only fill the lungs with fluid !

  • @ainelloydiaz7320
    @ainelloydiaz73203 ай бұрын

    By far THE BEST explanation I have ever heard! Thanks!

  • @rewatiteeparti6588
    @rewatiteeparti65883 ай бұрын

    Tom loving your videos… I am a Hospitalist. Please post more

  • @TomBouthillet
    @TomBouthillet3 ай бұрын

    I've been thinking about it! Thank you for the feedback.

  • @TheWar4money
    @TheWar4money4 ай бұрын

    Many thanks.

  • @cantlieman
    @cantlieman5 ай бұрын

    As a woman, thankyou for being so kind and considerate. Also, if a female medical professional is present it would be easier for you guys to navigate the situation.

  • @TomBouthillet
    @TomBouthillet4 ай бұрын

    There have been several occasions where having a female crew member would have been ideal.

  • @atlantic7949
    @atlantic79495 ай бұрын

    Such a God sent. I read this isoelectric method on LFL website it didn’t quite click. Thank you

  • @MultiCII
    @MultiCII5 ай бұрын

    As a veteran emergency physician educator and medical illustrator this is an excellent presentation. Keep up the great work.

  • @TomBouthillet
    @TomBouthillet4 ай бұрын

    Thank you, MultiCII! I appreciate the comment and encouragement.

  • @user-cr6gv7tn5h
    @user-cr6gv7tn5h5 ай бұрын

    wow, amazing ! Thank you

  • @LoveEmmanuella00
    @LoveEmmanuella005 ай бұрын

    Interesting

  • @saliha6767
    @saliha67675 ай бұрын

    👏👏👏

  • @1ctcell
    @1ctcell6 ай бұрын

    Just brilliant ty❤

  • @Sanjaytom92
    @Sanjaytom926 ай бұрын

    Thanx sir

  • @Never-the-same
    @Never-the-same6 ай бұрын

    amazing video, keep going my bossman!

  • @puggie47
    @puggie476 ай бұрын

    Great instructor...always appreciate your lectures and time

  • @selenawang1956
    @selenawang19566 ай бұрын

    Where is AVF? The lead one is perpendicular to Avl or AvF? AvF is located the bottome . Confusing for me

  • @Forknifoon
    @Forknifoon7 ай бұрын

    Whatever that stuff is that just flooded in there is exactly how I would imagine the way I feel when I’m sad. Like no joke I get a physical chest thing when I’m really sad but hold in my tears. What does it mean.

  • @manoharlal6231
    @manoharlal62317 ай бұрын

    your voice and explanation and presentation is amazing, thanks

  • @cherrrriii
    @cherrrriii8 ай бұрын

    an excellent video!! thanks a lot

  • @natsurangbo6867
    @natsurangbo68678 ай бұрын

    Ventricolulography showing "octopus trapping pot".

  • @itticardio
    @itticardio8 ай бұрын

    I am a cardiologist, and I am enjoying your videos so much

  • @TomBouthillet
    @TomBouthillet8 ай бұрын

    I'm glad to know that! Thank you for watching.

  • @user-ni7kj1sx7y
    @user-ni7kj1sx7y8 ай бұрын

    Well explained refresher material. Much appreciated.

  • @ganymede3141
    @ganymede31419 ай бұрын

    Thank you for this clear, concise and visually well-illustrated video!

  • @TomBouthillet
    @TomBouthilletАй бұрын

    Thank you so much!

  • @TigerDelgado
    @TigerDelgado9 ай бұрын

    Thank you, I really appreciate you for being patient to make this video and for being extremely thorough ❤❤❤.

  • @experiencedmua9962
    @experiencedmua99629 ай бұрын

    I'm not even in medical school and this is very comprehensive. Thank you. Trying to understand this as I am experiencing this but yet my echo came back normal.

  • @rachelmageo773
    @rachelmageo7739 ай бұрын

    Thank you so much! I like that “speed method” diagram where can I find that to print/laminate till its committed to memory?

  • @TomBouthillet
    @TomBouthillet9 ай бұрын

    www.ecgmedicaltraining.com/wp-content/uploads/2016/02/rapid-axis-1024x411.png

  • @dr.jenkem7574
    @dr.jenkem757410 ай бұрын

    Incredibile!

  • @scorpieo
    @scorpieo10 ай бұрын

    Paramedic here in Kuwait, even after 2.5 years on the job. Your video is a great overview! Thank you Tom. :D

  • @TomBouthillet
    @TomBouthillet10 ай бұрын

    My pleasure! I’m glad you got something out of it.

  • @rodsricafranca4559
    @rodsricafranca455910 ай бұрын

    I have a question though, instead of going through difficulty and further complicate in determining the axis with the split method, you could have used the quadrant method but i understand youre only trying to show the difft ways. Ive learned alot in this video:)

  • @spooderglass
    @spooderglass11 ай бұрын

    Thank you so much

  • @hamiltonismyfirstname2339
    @hamiltonismyfirstname233911 ай бұрын

    What is a normal frontal axis T in degrees?

  • @abdou.b3259
    @abdou.b325911 ай бұрын

    how do these ionic events actually create the familiar ECG trace? Our electrodes are attached to the patient's skin, not to the surface of their cells. How can cardiac electrical activity be measured by external electrodes?

  • @TomBouthillet
    @TomBouthillet11 ай бұрын

    The electrical activity of the heart is generated by the movement of ions across the cell membranes of cardiac muscle cells. When these ions move, they create an electrical field that can be detected by electrodes placed on the skin. The ECG machine amplifies this signal and displays it on a graph. The ECG trace is not a direct representation of the electrical activity of the heart cells. Instead, it is a representation of the net electrical field as it is detected by the electrodes.

  • @mauricepajayon7376
    @mauricepajayon73768 ай бұрын

    Well your patient’s skin, like everyone else, is composed of cells

  • @myhotpotato
    @myhotpotato11 ай бұрын

    on your discussion on extreme right axis deviation, you had me confused, ( time stamp 29.00-29.06). your box red box was highlighting leads II as perpendicular to AVF. can you clarify? thanks

  • @TomBouthillet
    @TomBouthillet11 ай бұрын

    I was illustrating what I call a split axis. Because it wasn't clear whether lead I or lead aVL was the equiphasic lead, I calculated both the perpendicular leads, lead II (-) and lead aVF (-). Those have values of -90 and -120. If you split the difference you get -105. The computer measures the axis at -110. That's not the preferred method for this ECG but it can be done.

  • @dajatotu
    @dajatotu11 ай бұрын

    You are absolutely brilliant! Thank you.

  • @codrut913
    @codrut91311 ай бұрын