For example, the cardiologist may not even dictate for weeks after the patient is discharged. Now, Im confused. Keywords: If necessary, the electrode for lead V5 should also be placed underneath breast tissue. Dont believe me? Ive been in EMS for 5 years, and Im sad to say I have never once seen someone apply a 12-lead properly. These are the times I find myself asking questions, but cannot really get any clear answers. For instance, you never want to give nitroglycerin if you see an inferior infarct until after performing a right-sided EKG. You are using an out of date browser. Thank you for taking the time to read this and answer, Its a long one. J Am Coll Cardiol. The leads need to be placed to accurately capture the electrical activity of that particular heart. If there is obvious hair on the chest, use a razor to remove it before applying the electrodes. 2019 The Authors. FOIA The EKG lead position should follow the bony rib landmarks and not determined by the location of the inframammary fold. Specializes in Nurse Paramedic. 2012 Jul;60(1):45-56.e2. . Since 1997, allnurses is trusted by nurses around the globe. Its not as big of a deal if youre only doing a 4-lead, but doing so when youre going to put the precordial leads on will alter the morphology of your EKG. Most of the time the answer is somewhere around here, and they point to areas on the arms, legs, and chest. It is extremely important to know the exact placement of each electrode on the patient. And for things that you have to uncover them, most people are ok with it as long as you communicate. The EKG lead placement overlays specific cardiac regions. border: none; A standardized procedure for locating and documenting ECG chest Surprised someone would say that is not the norm. display: inline; Thank you for putting up this information. Thanks for sharing. Locate the sternal notch (Angle of Louis) by feeling the top portion of the breast bone, and moving your fingers downward until you feel a bump. Specializes in Emergency. It is bones not boobs that determine lead placement. Andrew, Almost every female patient you ever interact with is going to be exactly the same with you being a male as they would if you were a female. A 12 lead electrode would be excessive for my project as it needs to be integrated into a wearable sensor.
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ecg lead placement large breasts