The EKG (Professor Gandy's)

[Guest guest]

The rhythm shows an av sequential pacemaker, with the following

characteristics:

When a p wave is detected, the atrial pacemaker does not fire.

When a QRS complex is detected, the ventricular pacemaker does not fire.

When a p wave is not detected the atrial pacemaker does fire.

When a QRS complex is detected, the ventricular pacemaker does fire.

Thus, the pacemaker is sensing both chambers, the pacemaker is inhibited by

each chamber independently. Each chamber can be paced independently.

Thus the code for the pacemaker is: DDDRP

Pacemakers: Nomenclature

Pacers use a 5-letter code: first 3 letters most important

1. First Letter: Chamber Paced

A= Atrium

V= Ventricle

D= Dual (A+V)

2. 2nd Letter: Chamber Sensed

A= Atrium

V= Ventricle

D= Dual (A+V)

O= None

3. 3rd Letter: Response after Sensing:

I = Pacing Inhibited

T= Pacing Triggered

D= Dual (I+T)

O= None

4. 4th Letter: Programmability

P = Rate & Output

M = Multiprogramable

C = Communicating

R = Rate adaptive

O = None

5. 5th Letter: Arrhythmia Control

P = pacing

S= shock

D= Dual (P+S)

O = None

Professor Gandy has informed me that this is correct, and that my fur lined

portapotty seat will even be made in a size large enough for me. And I

choose the " green " color for it.

Atwell Rasmussen, Ph.D., REMTP

Lieutenant, Education and Training

Greenville County EMS

The information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privileged

material. If you are not the intended recipient of this message you are

hereby notified that any use, review, retransmission, dissemination,

distribution, reproduction, or any action taken in reliance upon this

message is prohibited. If you received this in error, please contact the

sender and delete the material from any computer. Any views expressed in

this message are those of the individual sender and may not necessarily

reflect the views of the company.

1.

[Guest guest]

OK EMS PROFESSIONALS! HERE'S YOUR CHANCE TO LEARN.

Professor Rasmussen has articulated a really important lesson below. Now

that we are seeing more and more heart transplant patients and more and more

complicated pacemakers, it is very helpful to know what it is you're seeing when

those little spikes start going everywhere.

Professor Rasmussen's Chartreuse Phootster LX Giant-sized PortaPotty, with

matching lemur-fur seat, heated urinal, two useless shelves, and gooseneck

trailer hitch will be delivered personally by Martha just before she

reports to the Federal Correctional Institution. He is donating the nosehair

clipper to Martha, as she will need it where she's going.

Congratulations, . Great job.

Gene

In a message dated 3/31/2004 7:29:55 AM Central Standard Time,

jrasmussen@... writes:

The rhythm shows an av sequential pacemaker, with the following

characteristics:

When a p wave is detected, the atrial pacemaker does not fire.

When a QRS complex is detected, the ventricular pacemaker does not fire.

When a p wave is not detected the atrial pacemaker does fire.

When a QRS complex is detected, the ventricular pacemaker does fire.

Thus, the pacemaker is sensing both chambers, the pacemaker is inhibited by

each chamber independently. Each chamber can be paced independently.

Thus the code for the pacemaker is: DDDRP

Pacemakers: Nomenclature

Pacers use a 5-letter code: first 3 letters most important

1. First Letter: Chamber Paced

A= Atrium

V= Ventricle

D= Dual (A+V)

2. 2nd Letter: Chamber Sensed

A= Atrium

V= Ventricle

D= Dual (A+V)

O= None

3. 3rd Letter: Response after Sensing:

I = Pacing Inhibited

T= Pacing Triggered

D= Dual (I+T)

O= None

4. 4th Letter: Programmability

P = Rate & Output

M = Multiprogramable

C = Communicating

R = Rate adaptive

O = None

5. 5th Letter: Arrhythmia Control

P = pacing

S= shock

D= Dual (P+S)

O = None

Professor Gandy has informed me that this is correct, and that my fur lined

portapotty seat will even be made in a size large enough for me. And I

choose the " green " color for it.

Atwell Rasmussen, Ph.D., REMTP

Lieutenant, Education and Training

Greenville County EMS

The information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privileged

material. If you are not the intended recipient of this message you are

hereby notified that any use, review, retransmission, dissemination,

distribution, reproduction, or any action taken in reliance upon this

message is prohibited. If you received this in error, please contact the

sender and delete the material from any computer. Any views expressed in

this message are those of the individual sender and may not necessarily

reflect the views of the company.

1.

[Guest guest]

OK EMS PROFESSIONALS! HERE'S YOUR CHANCE TO LEARN.

Professor Rasmussen has articulated a really important lesson below. Now

that we are seeing more and more heart transplant patients and more and more

complicated pacemakers, it is very helpful to know what it is you're seeing when

those little spikes start going everywhere.

Professor Rasmussen's Chartreuse Phootster LX Giant-sized PortaPotty, with

matching lemur-fur seat, heated urinal, two useless shelves, and gooseneck

trailer hitch will be delivered personally by Martha just before she

reports to the Federal Correctional Institution. He is donating the nosehair

clipper to Martha, as she will need it where she's going.

Congratulations, . Great job.

Gene

In a message dated 3/31/2004 7:29:55 AM Central Standard Time,

jrasmussen@... writes:

The rhythm shows an av sequential pacemaker, with the following

characteristics:

When a p wave is detected, the atrial pacemaker does not fire.

When a QRS complex is detected, the ventricular pacemaker does not fire.

When a p wave is not detected the atrial pacemaker does fire.

When a QRS complex is detected, the ventricular pacemaker does fire.

Thus, the pacemaker is sensing both chambers, the pacemaker is inhibited by

each chamber independently. Each chamber can be paced independently.

Thus the code for the pacemaker is: DDDRP

Pacemakers: Nomenclature

Pacers use a 5-letter code: first 3 letters most important

1. First Letter: Chamber Paced

A= Atrium

V= Ventricle

D= Dual (A+V)

2. 2nd Letter: Chamber Sensed

A= Atrium

V= Ventricle

D= Dual (A+V)

O= None

3. 3rd Letter: Response after Sensing:

I = Pacing Inhibited

T= Pacing Triggered

D= Dual (I+T)

O= None

4. 4th Letter: Programmability

P = Rate & Output

M = Multiprogramable

C = Communicating

R = Rate adaptive

O = None

5. 5th Letter: Arrhythmia Control

P = pacing

S= shock

D= Dual (P+S)

O = None

Professor Gandy has informed me that this is correct, and that my fur lined

portapotty seat will even be made in a size large enough for me. And I

choose the " green " color for it.

Atwell Rasmussen, Ph.D., REMTP

Lieutenant, Education and Training

Greenville County EMS

The information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privileged

material. If you are not the intended recipient of this message you are

hereby notified that any use, review, retransmission, dissemination,

distribution, reproduction, or any action taken in reliance upon this

message is prohibited. If you received this in error, please contact the

sender and delete the material from any computer. Any views expressed in

this message are those of the individual sender and may not necessarily

reflect the views of the company.

1.

[Guest guest]

OK EMS PROFESSIONALS! HERE'S YOUR CHANCE TO LEARN.

Professor Rasmussen has articulated a really important lesson below. Now

that we are seeing more and more heart transplant patients and more and more

complicated pacemakers, it is very helpful to know what it is you're seeing when

those little spikes start going everywhere.

Professor Rasmussen's Chartreuse Phootster LX Giant-sized PortaPotty, with

matching lemur-fur seat, heated urinal, two useless shelves, and gooseneck

trailer hitch will be delivered personally by Martha just before she

reports to the Federal Correctional Institution. He is donating the nosehair

clipper to Martha, as she will need it where she's going.

Congratulations, . Great job.

Gene

In a message dated 3/31/2004 7:29:55 AM Central Standard Time,

jrasmussen@... writes:

The rhythm shows an av sequential pacemaker, with the following

characteristics:

When a p wave is detected, the atrial pacemaker does not fire.

When a QRS complex is detected, the ventricular pacemaker does not fire.

When a p wave is not detected the atrial pacemaker does fire.

When a QRS complex is detected, the ventricular pacemaker does fire.

Thus, the pacemaker is sensing both chambers, the pacemaker is inhibited by

each chamber independently. Each chamber can be paced independently.

Thus the code for the pacemaker is: DDDRP

Pacemakers: Nomenclature

Pacers use a 5-letter code: first 3 letters most important

1. First Letter: Chamber Paced

A= Atrium

V= Ventricle

D= Dual (A+V)

2. 2nd Letter: Chamber Sensed

A= Atrium

V= Ventricle

D= Dual (A+V)

O= None

3. 3rd Letter: Response after Sensing:

I = Pacing Inhibited

T= Pacing Triggered

D= Dual (I+T)

O= None

4. 4th Letter: Programmability

P = Rate & Output

M = Multiprogramable

C = Communicating

R = Rate adaptive

O = None

5. 5th Letter: Arrhythmia Control

P = pacing

S= shock

D= Dual (P+S)

O = None

Professor Gandy has informed me that this is correct, and that my fur lined

portapotty seat will even be made in a size large enough for me. And I

choose the " green " color for it.

Atwell Rasmussen, Ph.D., REMTP

Lieutenant, Education and Training

Greenville County EMS

The information transmitted is intended only for the person or entity to

which it is addressed and may contain confidential and/or privileged

material. If you are not the intended recipient of this message you are

hereby notified that any use, review, retransmission, dissemination,

distribution, reproduction, or any action taken in reliance upon this

message is prohibited. If you received this in error, please contact the

sender and delete the material from any computer. Any views expressed in

this message are those of the individual sender and may not necessarily

reflect the views of the company.

1.