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Cardiology / EKG

Prehospital Cardiology

Read any rhythm strip and 12-lead with confidence — and name the culprit artery cold.

Read any rhythm strip and 12-lead with confidence. Built by a working critical-care medic on real tracings — from cardiac anatomy and conduction through systematic rhythm interpretation, all the rhythm families and AV blocks, 12-lead foundations, axis and bundle branch blocks, and STEMI recognition including the field traps that fool prehospital providers. Self-paced and mapped to the National EMS Education Standards.

9 modules · 65 lessons · self-paced · lifetime access

$39one-time
Enroll now See a free lesson

No email required · 65 lessons in the full course.

  • Lifetime access — buy once, keep it.
  • A quiz at the end of every module, with a rationale on every answer.
  • New lessons added free as they ship.

Written by Vincent Burburan, NRP — working critical-care paramedic, NAEMSE educator, author of 4 NREMT prep books.

Mapped to the National EMS Education Standards & NREMT domains.

See inside

Real screens from the course — interactive tools and custom figures drawn for this class, not stock clip-art. Tap any screen to enlarge.

Practice on real de-identified tracings — a 185-strip library of 12-leads and rhythm strips.
Interactive tools — set the R-R spacing and get the rate three ways (300, R-R, and 6-second).
Read the QRS axis at a glance — toggle leads I and aVF and see the quadrant it lands in.

What you'll be able to do

  • Localize a STEMI to its culprit artery from the leads.
  • Call an evolving infarct step-by-step on the 12-lead.
  • Run the same 5-step read on every strip, under pressure.
  • Tell a real STEMI from the mimics that fool providers.

The arc of the course

9 modules · 65 lessons · self-paced. Here's what each module gets you.

  1. Module 1 · Cardiac Anatomy, Physiology & the Conduction System

    7 lessons + quiz

    Know exactly what each part of the waveform represents — how the impulse travels and why the tracing looks the way it does.

    • Cardiac chambers, valves, and the path of blood flow
    • Coronary artery anatomy (RCA, LAD, LCx, PDA) and the myocardium each feeds
    • Cardiac cell electrophysiology: the action potential, depolarization/repolarization, refractory periods
    • The conduction pathway: SA node → AV node → bundle of His → bundle branches → Purkinje fibers
    • Automaticity, the pacemaker hierarchy, and escape mechanisms
    • Autonomic control: sympathetic vs parasympathetic effects on rate and AV conduction
    • From vectors to squiggles: how the heart's electrical activity becomes ECG deflections
  2. Module 2 · The ECG Signal: Leads, Waveforms & Clean Capture

    7 lessons + quiz

    Place leads correctly, spot artifact, and get a clean, trustworthy tracing every time.

  3. Module 3 · A Systematic Approach to Rhythm Interpretation

    7 lessons + quiz

    Build the repeatable 5-step read you use on every strip, so nothing gets missed under pressure.

  4. Module 4 · Sinus, Atrial & Junctional Rhythms

    7 lessons + quiz

    Identify the supraventricular rhythms on sight and know which ones actually change your treatment.

  5. Module 5 · Ventricular Rhythms & the AV Blocks

    8 lessons + quiz

    Nail the life-threats — VT and VF — and walk the AV blocks apart without second-guessing.

  6. Module 6 · 12-Lead Foundations: Reading the Whole Heart

    7 lessons + quiz

    Move from the monitor to the 12-lead: what each lead sees and how the views fit together.

  7. Module 7 · Axis, Chamber Enlargement & Bundle Branch Blocks

    8 lessons + quiz

    Read axis and the blocks fast, and recognize the patterns that mimic or mask an MI.

  8. Module 8 · Ischemia, Injury & Infarction + STEMI Mimics

    8 lessons + quiz

    Localize a STEMI to its coronary territory — and tell the real thing from the mimics that fool people.

  9. Module 9 · Clinical Integration & EMS Scenarios

    6 lessons + quiz

    Put it together on realistic prehospital calls, from first contact to the transport decision.

The full lesson list unlocks when you enroll. Sample a free lesson above.

Your instructor

Vincent Burburan, NRP

Critical Care Paramedic and NAEMSE educator. Every lesson is written from the truck, mapped to the National EMS Education Standards and the NREMT domains you're tested on — no fantasy tracings, no fluff.

Before you enroll

Do I need to be a paramedic already?
No. It's built at the paramedic-program level and starts from the ground up — if you can read a monitor, you can start here.
Is this really enough to read 12-leads?
Yes. It takes you from anatomy to STEMI localization with real tracings and a graded check after every module — mapped to the National EMS Education Standards.
Does it work on my phone?
Yes — every lesson, figure, and check is built for mobile. Learn on shift, on the couch, wherever you are.
How long do I keep it?
Lifetime. Buy once, keep it, and get new lessons as they ship at no extra cost.
Enroll for $39

One-time payment · lifetime access

$39one-time
Enroll now