Advanced EKG Elective

Advanced EKG Elective

Duration: 2 weeks

Format: Self-directed with clinical integration

Mentor: Matt Allison, MD, cc: Liz Fierro

Location: LLUMC Emergency Department/Asynchronous

Course Description

The Advanced EKG Elective is a two‑week, resident‑led experience designed to deepen expertise in ECG interpretation for senior EM residents. Through advanced cases from Mattu & Brady Volume 2, structured modules, and guided mentorship, participants will learn STEMI equivalents, toxicologic ECG changes, electrolyte derangment findigns, fascicular blocks, paced rhythms, and high-risk arrhythmias vital to emergency care.

Week 1

• Part 2 Mattu & Brady – ECGs for the Emergency Physician, Vol. 2 (EKGs #1–110)

• Foundations EM ECG II — Online Modules:

  • Unit VII: Fascicular Blocks

  • Unit VIII: NSTEMIs

  • Unit IX: Miscellaneous Ischemic EKGs

Week 2

• Part 2 of Mattu & Brady: EKGs #111-200

• Foundations 

  • Unit X: Potassium Derangement

  • Unit XI: Miscellaneous EKGs

  • Unit XII: Paced Rhythms

• Dr. Matt Allison Meeting: 30-minute session during elective

  • Resident presents 5 ECGs deemed interesting

  • Instructor presents 10 advanced ECGs for discussion

  • Random review of 10–15 ECGs from ED stack

• Mini quiz (10 ECGs) covering rhythm, intervals, ischemia

Goals and Objectives

Goals

Learning Objectives

By the end of the elective, residents will be able to:

Expectations & Required Tasks

Residents must complete the following during the 2-week elective:

1. Reading

Complete ECGs for the Emergency Physician, Vol. 2 by Amal Mattu & William Brady

• Book available in EM residency library - Checkout with Tiana Gonzalez

2. Online Learning

Complete the Foundations of EM ECG Course 2 

• 6 structured units (Units 7-12)

• Optional challenge ECGs

3. Clinical Practice

• Schedule meeting with Dr. Allison

  • Bring 5 interesting EKGs 

  • Review 10-15 EKGs with attending during this session

4. Complete quiz

   • [Link here]

Completion & Credit

• Residents will submit a completion form at the end of the elective that includes:

  • Attestation of required tasks

  • EKG interpretation logs with attending initials

  • Quiz completion screenshot

  • Submit your form here: https://forms.gle/rAYZu4bhKAeaR14s5 

Resources

1. Textbook: Amal Mattu & William Brady — ECGs for the Emergency Physician, Vol. 2

2. Online Course: Foundations of EM ECG Course II

Optional Tools for On-Shift Review

• EMRA EKG Guide (EM library)

• Life in the Fast Lane ECG Library – https://litfl.com/ecg-library/