reaper
Working Bum
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Huh????????
Limb Lead Placement on 12 Lead EKG
- Thread starter rling
- Start date
You need to interpret the EKG in diagnostic mode. Monitor mode may provide a reading with less artifact, but it will prevent you from getting all the information. (I think you have the two mixed up...)
Also, you do realize that an anterior MI is the most common type of STEMI right? You really do need those precordial leads...
These are two great videos to watch about 12-leads by the way:
http://www.youtube.com/watch?v=eA5HmQSMGHE
http://www.youtube.com/watch?v=TFcyiCKyaZ4
Also, you do realize that an anterior MI is the most common type of STEMI right? You really do need those precordial leads...
These are two great videos to watch about 12-leads by the way:
http://www.youtube.com/watch?v=eA5HmQSMGHE
http://www.youtube.com/watch?v=TFcyiCKyaZ4
Resc-U-Randy
Forum Ride Along
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Right. I did get them mixed. It gives an overviewfor the varitable "Load and Go" patient.
12 lead ECGs can only accurately interpret axis (the predominant direction of the flow of electricity through the heart) with the LIMB leads on the limbs - deltoids and thighs are fine for this -
axis determinations are vital in diagnosing hemiblocks / fascicular blocks of the bundle branches. One could also argue that incorrect lead placement could give skewed results of infarct location, and amplitude variances, but personally I believe that's a bit over the top, and it's sounds as though studies have demonstrated those two problems as being irrelevant.
The key is good skin prep - most artifact comes from poor conduction - not placement.
On a side note - telemetry beds were the original 'movers of the leads', as they migrated inward to the torso to prevent ICU V-tach alarms from sounding every time a patient brushed their teeth...
axis determinations are vital in diagnosing hemiblocks / fascicular blocks of the bundle branches. One could also argue that incorrect lead placement could give skewed results of infarct location, and amplitude variances, but personally I believe that's a bit over the top, and it's sounds as though studies have demonstrated those two problems as being irrelevant.
The key is good skin prep - most artifact comes from poor conduction - not placement.
On a side note - telemetry beds were the original 'movers of the leads', as they migrated inward to the torso to prevent ICU V-tach alarms from sounding every time a patient brushed their teeth...