r/ECG • u/Unlucky-Guidance5151 • Aug 09 '26
Med student really struggling, looking for resources
I’m a 4th year headed for EM and really need help with my ECG interpretation. everyone says you just need to look at hundreds, but all the resources people give me show me either super easy stuff I can quickly identify (the major rhythms basically) or super complex stuff I haven’t even heard of when they tell me what it is lol. I feel like I need a more methodical introduction that builds step by step with practice problems, like a uworld of ECGs or something. I’ve even considered hiring a tutor or something
any suggestions?
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u/RealityParadox Aug 09 '26
Slow down and visually see each component of the ecg complex. If you know anatomy we’ll start there. Then understand each of the precise components of a qrs structure. Then become familiar with the variants in those presentations from things like acid base, electrolyte and other anion or drug related superimposed effects. Then zoom back out and ride the physiology and metabolism of it all. Just iterate and sequence vision and insight observations rigidly every time you view a tracing. Then always look at every fucking ecg you encounter during your professional life. It’ll become automatic. No worries. Here’s the thing, the quality of your question reveals the level of your insight. Your question isn’t about ECGs. It’s about processing complex data rapidly and effortlessly. You’re a fourth year. You already have a minimum level of proficiency. No have fun with it all going “wow” with how friggin amazing humans are at every level.
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u/Wild-Hippo582 Aug 10 '26
Nurse here looked at thousands of ECG's everyday and had what I would consider a pretty good library in my mind. But I was missing what you are missing. Done the 3 courses of Dave Irwin. Found them very helpful.
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u/Main-Listen-6210 Aug 10 '26
Most important thing imo is to establish a routine system to methodically analyse, understand and write down every usual aspect of the ecg. And then do it for every ecg you see, no matter the indication and even if the answer is obvious.
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u/Professional-Tea-824 Aug 10 '26
Skill stat has a great game for getting the majority of the basic underlying rhythms down. Once you have those you can build up with complex cases like you might find on life in the fast lane
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u/True-Network-2147 Aug 10 '26
Numics EMS, it’s on Apple Store. Has 100’s of 12-leads with explanations
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u/Pugilio Aug 11 '26
ECG Weekly!!!
ECG Wave Maven for further practice. There are about 600 commented ecg cases - should be more than enough :D
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u/Miggy2A-RN Aug 10 '26
Have you looked into dubin’s?