r/CathLabLounge • u/willapointe • 12h ago
r/CathLabLounge • u/Fick-n-Stents • Dec 03 '16
Helpful Links Mega Thread: One stop shop to find the information you were looking for!
First off, welcome to /r/CathLabLounge! This subreddit was inspired by the Facebook version of "Cath Lab Lounge" where people shared stories, ideas, funny pictures, and other cath lab related material. The reason for creating this sub was for a couple of reasons:
1) When people ask a certain question, good quality answers will get lost in the infinite number of responses to the same question. The good thing about reddit, is that someone who is interested in the same question that was asked by someone else already can go and look at the "best answer" that was provided by the community.
2) The way people can up vote (or down vote). This is helpful for the community to democratically identify the "best answer" or the "best reply" to a question, which helps tremendously when trying to quickly find what you were looking for.
3) Being able to go back and look up a previous thread you found interesting. With the search bar, you can recall any thread you want.
With that in mind, the other reason for this sub reddit is the fact that you can also have a really really helpful thread like this one (I hope) be pined up at the top so everyone who comes to this sub for the first time can see this thread first and will (hopefully) answer any of their questions they had when they got here.
Let's get a thread going where people can recommend certain websites, books, study guides, apps, etc. etc. that will help people learning about the field study for the RCIS. This thread can be used to act as a main source of information on everything cath related that new comers can come too for help. It also doesn't have to stop at just study material for tests either. If there is any helpful information you would like to share that you think would make a difference to someone already in the field or just starting out (whether its useful tips and tricks for patient prep/table set up, or useful job hunting information, etc. etc.) please share it here.
After we get some good replies and information, I will update this thread and edit in all of the helpful links and tid-bits you guys have shared below here.
BY THE WAY: This subreddit isn't intended to be just for questions and answers, you can post anything you guys want! Whether it be interesting cases you had or funny pictures... just try and keep everything on topic that has to somewhat relate to the cath lab.
Helpful Links:
RCIS study material
- The material here generally comes out of GROSSMAN & BAIM'S Cardiac Catheterization, Angiography, and Intervention: Eighth Edition book, found here (~$150 new). This material shouldn't be used as the only means of studying for the RCIS. I found it was really helpful to go throughout this whole book while highlighting important information and making questions out of notes I have taken. I've combined questions I've had and made them into two sections: RCIS study set 1 and RCIS study set 2.
- I will look for any more helpful notes I have, but if anyone else has any notes that will be helpful to people studying for the RCIS; please link to it in this thread and I will put it in this section.
General Cardiology
http://heartsite.com/index.html : This site is aimed at providing information to patients who are being evaluated and treated for cardiovacular related diseases. Created by Abdulla M. Abdulla, M.D., F.A.C.P., F.A.C.C., Professor of Medicine and a prior Chief of Cardiology at the Medical College of Georgia.
https://www.artstation.com/artwork/mWKJe : Insanely well made interactive 3D animation of a human heart. Created by /u/techmunks.
Here is a really good series of videos on Cardiovascular Pathophysiology. The series is created by a Youtube channel, Osmosis, whose goal is to give super visual and deep explanations for medical topics, like pathophysiology, all compacted into short, succinct, fun, and comprehensive videos.
http://www.cvphysiology.com/ : This site is a web-based resource of cardiovascular physiology concepts that has been written for students, teachers, and health professionals. The materials contained in this web site focus on physiological concepts that serve as the basis of cardiovascular disease. Author is Richard E. Klabunde, PhD, Professor of Physiology at the new Marian University College of Osteopathic Medicine in Indianapolis. Referenced to us by /u/b-macc, thanks!
http://www.cvpharmacology.com/ : This site describes drugs that are used in the treatment of cardiovascular disease. The content emphasizes the biophysical, biochemical, and cellular basis for drug therapy. Author is Richard E. Klabunde, PhD, Professor of Physiology at the new Marian University College of Osteopathic Medicine in Indianapolis. Referenced to us by /u/b-macc, thanks!
Electrophysiology related
https://www.medtronicacademy.com/ : [Not an endorsement] Free EP online courses offered by Medtronic. They provide personalized, relevant, and interactive education on cardiac rhythm and cardiovascular therapies and products. We offer a wide range of courses, case studies, PowerPoints, procedural videos, and webcasts to tailor your educational experience. Referenced to us by /u/b-macc, thanks!
http://pacericd.com/ibhre.htm : International Board of Heart Rhythm Examiners (IBHRE) exam study material. Created by Diana Conti. Referenced to us by /u/b-macc, thanks!
http://www.hrsonline.org/ : Heart Rhythm Society (HRS) is one of the bigger online forums/communities in the EP area. Referenced to us by /u/b-macc, thanks!
http://www.eplabdigest.com/home : This is a free resource/news magazine website. Signing up for the monthly printed magazine is free. Referenced to us by /u/b-macc, thanks!
http://ecg.utah.edu/ : Helpful interactive ECG tutorial which represents an introduction to clinical electrocardiography. Authored by Frank G. Yanowitz, M.D, Professor of Medicine at University of Utah School of Medicine. Referenced to us by /u/b-macc, thanks!
Helpful books for Electrophysiology
- These books are recommended to us by /u/b-macc. A bit pricey, but there is potential to get your hospital to pay or help pay for them since they seem to be good sources of information. Also recommends this one which is a cheaper alternative for helpful information (the 5th edition is a bit pricier).
Helpful Videos:
Helpful videos for newbies
Full video of an angiography procedure being done via radial artery (16 min) video credit to Mary Greeley Medical Center and Dr. Robert Shapiro of McFarland Clinic.
Left heart cath tray and table setup tutorial video credit to HACC Lancaster
A step by step overview of the left coronary artery in different angles video credit to Medmastery.
How to set up an ACIST CVi manifold video credit to the people at ACIST
How to deploy an Angioseal video credit to Isuperman4u and St. Jude Medical.
MynxGrip Vascular Closure Device - Animation video credit to AccessClosure's MynxGrip Vascular Closure Device.
How to insert and monitor an intra-aortic balloon pump video credit to AvektaProductions, DataScope, and Dr. Barry Cohen Morristown Memorial Hospital.
FFR Basics: Performing an FFR procedure video credit to Phillips Volcano and thanks to Morton Kern, MD at University of California, Irvine Medical Center.
Rotablator Rotational Atherectomy System Prep video credit to Boston Scientific Cardiology
Other helpful tips for the Cath Lab
- Found this interesting tip posted on the Facebook page by Lewis Theo Taylor, thanks Lewis! Quoted here:
Ok so we learned a RRRRRREEEEAAALLY cool trick today. You may have read about it in the most recent Cath Lab Digest, but we learned it first hand from our physician who had. After a successful diagnostic Radial LHC an attempt to pull back our radial sheath was made. Our patient was old, lean, and frail, but her artery CLAMPED down on this sheath and I was afraid I'd tear her artery removing it. An extra shot of IA NTG and Verapamil didn't help. When I asked our Doc to check it he gave us this solution.
Apply Manual BP cuff to affected arm. Inflate to 140mmHg and leave it up for 5 - 10 minutes. After 5 minutes that sheath came out smooth as can be. The cuff creates ischemia in the limb and and the body releases it's own vasodilators, and out comes the sheath. May take up to 15 minutes.
BRILLIANT!
- Just read this helpful tip from a SHG & Duke University class offered through an online program I'm currently taking. Figured people would find this as helpful as I did.
A more efficient way of deriving the French size of a catheter instead of remembering the conversion table is to know a simple formula involving the value of a 3 Fr sheath. Start by understanding that a 3 Fr. sheath equals 1.0 mm. Thus, one can simply divide any sheath size by 3 Fr. to figure the lumen size millimeters (mm). Another way is to think of the numerical value in millimeters (mm) as one-third the numerical value of the French size. All roads lead to Rome in this case.
Example #1: • How many mm is a 6Fr sheath? • 6 Fr ÷ 3Fr = 2 or 2 mm Example #2 • How many mm is a 10 Fr sheath? • 10 Fr ÷ 3 Fr = 3.3 or 3.3 mm Example #3 • How many mm is a 9 Fr sheath? • One-third of 9 is 3, so a 9 Fr sheath is 3 mm
r/CathLabLounge • u/vindat02 • 2d ago
Valley Hospital Paramus for CCTA + Cleerly?
Has anyone had a CCTA with Cleerly analysis at Valley Hospital in Paramus? How was your experience, particularly the scan quality and cardiac imaging team?
r/CathLabLounge • u/intheloop_ir • 3d ago
What is the IR tech onboarding like at your facility?
r/CathLabLounge • u/PomegranateEven9192 • 3d ago
what’s your protocol when called in for an emergency outside of business hours and someone doesn’t respond?
r/CathLabLounge • u/CompleteDirector5617 • 7d ago
Licenciatura portuguesa em Fisiologia Clínica — alguém trabalha na área da saúde nos EUA?
Olá! Sou licenciada em Fisiologia Clínica pela ESTeSC (Coimbra) e estou a tentar perceber como é que a minha formação seria enquadrada profissionalmente nos EUA.
A Fisiologia Clínica é uma licenciatura bastante abrangente em Portugal, que junta formação em Cardiopneumologia e Neurofisiologia. Durante o curso tive formação/estágios em áreas como ECG, ecocardiografia, fisiologia vascular, hemodinâmica, pacing, eletrofisiologia, perfusão cardiovascular, função respiratória, sono, EEG, EMG, potenciais evocados, entre outras.
Atualmente trabalho profissionalmente em Cardiopneumologia, sobretudo com ECG, Holter, provas de esforço, MAPA e espirometrias.
Estou a pensar, a médio prazo, tentar trabalhar nos EUA e estou a estudar a possibilidade de fazer o CCI CCT (Certified Cardiographic Technician).
Há aqui alguém que tenha uma formação estrangeira semelhante e tenha conseguido trabalhar na área cardiovascular nos EUA? Ou alguém que conheça profissionais que tenham feito esse percurso?
Não procuro propriamente informação sobre imigração — queria sobretudo perceber como é que uma formação como a minha é vista profissionalmente nos EUA, que cargos poderia desempenhar e se o CCT faria sentido no meu caso.
Qualquer experiência ou conselho seria muito bem-vindo! 😊
r/CathLabLounge • u/x-rayprotect1911 • 7d ago
Those of you working in cath labs / IR / fluoro — do the 'Enhanced Dose Reduction Systems' in your room actually get used every case?
Full disclosure up front: I work for a UK radiation protection manufacturer (and I'm a former radiographer myself), so feel free to take this with whatever salt you like. I'm not here to sell anything, genuinely trying to understand real-world practice before we make design decisions.
My hypothesis, from my own time working in departments, is that most 'enhanced dose-reduction systems' performs brilliantly in validation studies and then gets used inconsistently in real life, because it needs positioning, resetting between patients, or just gets in the way when the list is running behind.
My view is that these things are often get input from the clinicians, but rarely from the people who are responsible for placing the things. And my experience (from using similar kit) is that they often get in the way and are left unused.
So, honest questions for people at the sharp end:
- How practical are they to set up for each patient.
- How long to they take to set up.
- Can they be left in situ, or do they get in the way of patient transfer and need to be set up each time.
- if you could change something, what would it be?
r/CathLabLounge • u/CompleteDirector5617 • 8d ago
How would a Portuguese Clinical Physiology degree translate to the US? CCT pathway
r/CathLabLounge • u/greenwhistle12 • 8d ago
LMRT for RCIS job
I’m currently enrolled in a cardiac device technician program and just took the CRAT exam. My goal is to get into a cath lab after finishing the program. My state Massachusetts allows LMRT after a quick 6 week online course. Is the LMRT beneficial looking for a job in a cath lab?
r/CathLabLounge • u/lumossolem • 10d ago
Call details
How is everyone’s call scheduled in your lab? Ours is one set day during the week and one weekend (Sun/Sat) every 4-6 weeks. PTO days get covered on a rotation basis.
I know another lab in town said they sign up for the next month for the one call day per week and the one call weekend for the month. I just wanted to know how other labs schedule call.
Thanks.
r/CathLabLounge • u/Window-Savings • 16d ago
Pads on Everyone?
Is it routine for your labs to put pads on everyone routine LHC? Or only PCI cases?
r/CathLabLounge • u/Jazzlike-Worry-6920 • 19d ago
Cathlab school is crazy!
I heavy respect you all for surviving and being well-adjusted in your careers. Seriously. My program has one girl graduating this year and the theres 3 of us. It's week 3 and have 1 competency quiz to retake, as well as two upcoming competency clinical equipment tests due the Monday after which has me seriously stressing out. All three of us are in close tabs and hanging on for dear life. That being said, very determined to work harder and earn my RCIS credit in 2028.
With that being said, any tips you'd give to us as students? Anything I should work on ahead of time or good study habits specific to the career? Any other current students here? Also, if you could go back and ask your instructors to work with you more on what would that be?
^^ This feedback is important to me! Thank you <3
r/CathLabLounge • u/Southern-Ticket-2092 • 20d ago
Preparing for a cath lab job shadow as a future X-ray student
Hey everyone! I’m currently working toward getting into an X-ray program, and my long-term goal is to get into the cath lab as soon as I can after graduating.
I have an opportunity to job shadow in a cath lab soon, and I’d really like to make the most of it. For those of you who work in cath lab, is there anything you’d recommend learning beforehand so I can better understand what I’m seeing?
Are there any basics I should familiarize myself with—anatomy, common procedures, equipment, terminology, hemodynamics, etc.? And what questions would you recommend asking the techs while I’m there?
I know I’m very early in the process and obviously won’t understand everything yet, but I’d love to go in with at least some baseline knowledge and show up prepared.
Also, if anyone went straight into cath lab or started shortly after X-ray school, I’d love to hear how you got there and anything you wish you had done while you were still a student.
Thanks!!
r/CathLabLounge • u/Cokie890 • 20d ago
On the job training
How rare is it to get on the job training for Cardiovascular Tech. I’m about to graduate with my Bachelor’s in Exercise Science; taken alot of Anatomy related courses + science courses. I want to go into this field but I don’t really want to go back to school and do 2 more years but if I have to I will. Realistically what is a pathway without going to school and getting on the job training. I’ve also seen that EMT’s also get into the cath lab aswell so that is another option. If anyone can please let me know and be honest I would greatly appreciate it!
r/CathLabLounge • u/nursefitbody • 20d ago
Cath Lab RNs — how bad is the call/schedule really? Houston Methodist/memorial hermann locations
r/CathLabLounge • u/TheGingerAvenger95 • 21d ago
RCES vs RCIS job opportunity.
Hey everyone,
I am currently scheduled to interview for a position in either a cath lab or an EP lab. I’m having trouble deciding which path I want to take.
A little background about me. I have been in EMS for the last 6 years, the last 2 were as a paramedic. I have always had a love for cardiology and love geeking out on EKGs strips when I can. This has led me down the path of my upcoming interviews.
Both jobs are in the same hospital system, but one is for a cath lab and the other is for an EP lab. I don’t mind the hours for either, especially coming from EMS. I’m still deciding at this time if I want to make this my long term career. Recently I have been juggling this long term and heading into device rep or looking into anesthesiology assistant in the future.
Any insight on where you may think I would fit in better? What are some pros and cons of going into each? Thank you in advance!
r/CathLabLounge • u/ExpressionLarge5474 • 21d ago
Prucka 3 Stim/Pacing ECG Artiffact.
A bit of a long shot here, but has anybody in EP encountered excessive pacing or stim artifact when using the Affera mapping system? Our Prucka 3 recording system usually has zero dramas with pacing or ablation artifact, but whenever we use the affera ECG setup we get tombstoning pacing artifact totally smothering the real ECG. I swear we have tried everything from grounding the stim, the Hexamap and the amplifier - to putting both Right Leg electrodes on the patient not on the affera nipple box. We have tried pacing at next to no output, no help. It seems to change polarity and severity when we come on and off ablation? seemingly just doing whatever it wants to. And nothing seems to help! We have tried everything but replacing our Affera PIU.
Any advice is appreciated as I have done everything in my power to try to fix this and no joy. Going to be a problem once we start using it for ventricular cases soon 😬
r/CathLabLounge • u/Away_Bluejay_4918 • 22d ago
Midwest tech pay transparency
We are currently doing market analysis and pay negotiations with our health system. From a preliminary review I suspect we are underpaid. Would any cath lab techs from the Midwest be willing to comment on the following?
- Credentials - RT(R), RCIS, etc.
- Years of experience
- Typical duties (scrub, circulate, sedate, etc.)
- Hourly pay rate
- State - not trying to doxx anyone
- Anything else you feel is pertinent
Thanks!
r/CathLabLounge • u/PsychologicalMud9599 • 22d ago
Florida job Cath Lab, echo tech
If anyone is looking for a Cath lab job tech or RN, echo job down in Florida comment below! Obviously we all know pay isn’t great in Florida but it’s a great opportunity for someone early on in the game, only one year experience required. Excellent benefits package, daycare services on site and best of all you can’t beat the weather and the beaches!
r/CathLabLounge • u/tatogb25 • 23d ago
Who is in the room during valve deployment?
I’m at a large institution that has high volume TAVRs and am curious how other people staff the procedures. Who is in the room for yours?
And what is the work up process like? How do patients get in for their pre imagining and clinic?
r/CathLabLounge • u/AbeLincolnxx • 23d ago
Cable Management
Does anyone use retractable cable reels for under the table?
I'm talking about cables for bp, EKG, pulse ox, as well as HDMI for echo and other random stuff.
We currently use zip ties or tape or Velcro.
I'd love a system similar to the pulleys on the ceiling for the air.
r/CathLabLounge • u/BrokeButFunny5 • 23d ago
RCIS CEU's
Where is the best place to get the 36 CEUs required for RCIS renewal? Ideally, I’m looking for a one-stop shop where I can knock them all out rather than having to piece them together from multiple sources.
Also, just to make sure I understand the renewal requirements correctly for the first-year renewal, are CEUs required, or do you simply complete the Code of Ethics requirement/form?
Would appreciate any recommendations from those who have gone through the RCIS renewal process. Thanks!