ECG Placement

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5 Terms

1
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When to take a pre-hospital ECG?

chest pain, falls, breathlessness, shortness of breath, transient loss of consciousness, investigation of dizziness/light-headedness, palpitations, post resus care

2
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Where to place ECG limb leads?

on wrists and ankles is perfect, on torso is practical

3
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Where to place ECG chest leads?

V1: 4th intercostal space, right margin of the sternum

V2: 4th intercostal space, left margin of the sternum

V3: midway between V2 and V4

V4: 5th intercostal space, mid-clavicular line

V5: 5th intercostal space anterior axillary line (same level as V4)

V6: 5th intercostal space mid-axillary line (same level as V4)

<p>V1: 4th intercostal space, right margin of the sternum</p><p>V2: 4th intercostal space, left margin of the sternum</p><p>V3: midway between V2 and V4</p><p>V4: 5th intercostal space, mid-clavicular line</p><p>V5: 5th intercostal space anterior axillary line (same level as V4)</p><p>V6: 5th intercostal space mid-axillary line (same level as V4)</p>
4
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What do you base ECG lead placement off?

Skeletal structures, not surface anatomy

5
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Why do you not base ECG placement on surface anatomy?

it can change