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Unable to get a 12 lead

Discussion in 'ALS Discussion' started by cruiseforever, Jul 4, 2017.

  1. cruiseforever

    cruiseforever Forum Captain

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    Tried to do a 12 lead on a pt. using an E series Zoll. Applied all the electrodes and wires, pushed the acquire button and got the message V-1 not connected.
    Pushed on the electrode nothing.
    Replaced electrodes nothing.
    Changed wires nothing.
    Happened to have another monitor on scene, switched to that one still no V-1. Luckily it was not a cardiac event and I signed the pt..

    The rest of the calls I ran that day 12 lead worked fine. Is it possible it was the pt. and not the monitor?
     
  2. E tank

    E tank Forum Captain

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    The beauty of a 12 lead is that there are 12 of them. Lacking one, for whatever reason, should not change the course of events.
     
    MackTheKnife likes this.
  3. DesertMedic66

    DesertMedic66 Forum Troll

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    Place V6 there and record it. Place the monitor out of service and call it day.

    I have had issues with electrodes, cables, connection points, and sometimes even turning the monitor off and back on will solve the issue.

    As long as the electrode was making good contact with the skin then there shouldn’t be any issue on the patients part.
     
  4. cruiseforever

    cruiseforever Forum Captain

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    Placed pt. on a different monitor got the same message. Zoll will not print a 12 lead without all leads connected.
     
  5. hometownmedic5

    hometownmedic5 Forum Captain

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    I've dealt with this several times. I primarily use end of service life E series Zolls, so I know your pain.
    If my index of suspicion for a cardiac event is low, I take the patient to the hospital. document the equipment failure, take the monitor out of service and move on with my day. If my index of suspicion is high, I will communicate the problem to the receiving hospital, take the patient to the hospital, document the failure, take the monitor out of service, and move on with my day.

    Of course, my primary resource hospital is a STEMI POE, so this sort of problem isn't going to drastically change things for me. If you have a choice between a community hospital 10 minutes away and a PCI center 40 minutes away, you have a whole different ball of wax.
     
  6. NPO

    NPO Forum Deputy Chief

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    Yes it will, it just won't interpret it. Just hit record instead of acquire.

    And don't forget, you can always scroll through your leads and view each one. Not optimal, but you can see what's going on.

    Sent from my Pixel XL using Tapatalk
     

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