Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024) — Sam Ghali (2025)

editors

Additional ECG Videos (Grauer)


This page contains the following Educational ECG Videos that may be of interest to you:

  • 1) Watch Your Ps, Qs, 3Rs (Systematic Approach to Rhythm Interpretation! )
  • 2) Estimating Heart Rate (including when the rate is very fast! ).
  • 3) From the XXXX post — with illustration of the Every-other-Beat Method for rapid estimation of fast heart rates — and How to look for subtle Flutter waves.
  • 4) User-Friendly Approach to ECG Dx of Bundle Branch Blocks!
  • 5) Aberrant Conduction (LINK to my review of the Ashman phenomenon).
  • 6) Laddergram Basics (How to quickly learn to read a Laddergram )
  • 7) The 3 Types of AV Dissociation vs Complete AV Block.

— Where to find the ECG Videos LINK in the Top Menu —

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1) Watch Your Ps, Qs, 3Rs (Systematic Approach to Rhythm Interpretation! )

  • In this 2:30-minute video (67MB- mp410/27/2025) — I quickly review my user-friendly Systematic Approach to rhythm interpretation that will: i) Speed Up your interpretations; ii) Increase your accuracy; and, iii) Narrow your differential diagnosis, as well as allowing you to sound intelligent — even if you are not certain what the rhythm is.

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2) Estimating Heart Rate, including when the rate is very Fast! (by Ken Grauerfrom the Augst 13, 2025 post).

  • I begin this 3-minute video with the basics for how to estimate the rate of any fast or slow rhythm.
  • NOTE: For review on how to estimate fast heart rates — Skip to 1:25 minutes in this video, when I show how quickly and accurately apply the Every-other-Beat Method!

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3) This 2:30 minutes video is from the XXXXX post (WCT in an 85yo) — in which I illustrate use of the Every-other-Beat Method for rapid estimation of fast heart rates — and beginning at 1:05 minutes in the video, How to look for 2:1 flutter waves (XX MB- mp410/28/2025).

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4) User-Friendly Approach to ECG Dx of Bundle Branch Blocks! (How to Dx the BBBs in seconds! ).

  • In this 13-minute video (90MB- mp4) — I simplify rapid diagnosis of the type of Bundle Branch Block by focus on the 3 KEY Leads ( = leads I,V1,V6 ) — allowing you to distinguish between LBBB vs RBBB vs IVCD in less than 5 seconds!

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5) The “Whys” of Aberrant Conduction

  • In this 4:45 Minutes video (63 MB- mp4) — I review WHY some early beats and some SVT rhythms are conducted with Aberration (and why the most common form of aberrant conduction manifests RBBB morphology).
  • NOTE: In addition to QRS morphology and the coupling interval of early beats — is the effect of the R-R interval preceding the wide beat (which with bradycardia, predisposes to aberrant conduction by prolonging the refractory period of the next beat). I review this important additional concept with my user-friendly approach to the Ashman phenomenon (See My Comment at the bottom of the page in the September 16, 2024 post in Dr. Smith’s ECG Blog).

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6) Laddergram Basics (How to quickly learn to read a Laddergram )

Learning to draw Laddergrams is challenging. I fully acknowledge that it took me significant time until I felt comfortable with this skill. That said — learning to read laddergrams is EASY — and important for enhancing your understanding of more complex arrhythmias.

  • I cover the basics of what a laddergram is in the 5-minute ECG Video below. With this as introduction — you should be able to understand the mechanism portrayed in most laddergrams you will see (85MB- mp4) .
  • NOTE: You do not need to know how to draw laddergrams in order to attain excellence in arrhythmia interpretation — BUT — Becoming comfortable in reading laddergrams will be invaluable for taking you to your next level!
  • For more on Laddergrams, with lots of examples! — CLICK HERE !

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7) The 3 Types of AV Dissociation vs Complete AV Block:

  • In this 4:45 minutes video (54 MBmp4) — I review the 3 Causes of AV Dissociation and distinguish between AV Dissociation vs Complete AV Block.

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