Recording an ECG Flashcards Preview

Clinical Skills > Recording an ECG > Flashcards

Flashcards in Recording an ECG Deck (16):
1

What calming words do you need to hit your patient with during the opening of the consultation?

"I need to perform an ECH, which is an electrical trace of your heart.
It involves placing sticky pads on your chest and limbs; and attaching leads to these.
I have a chaperone in the room with us for your comfort.
This doesn't involve any electricity, you won't get an electric shock."

2

What equipment do you need?

ECG machine (duh)
Adhesive pads
Razor (for the hairy bastards)

3

What position do you need the patient in?

laid at 45degrees
chest, wrists and ankles exposed

4

What do you do is they're hairy, oily or dirty?

Hairy - shave
Oily - alcowipe
Dirty - soap and water wash

5

Where does V1 go?

right sternal edge
4th intercostal space

6

Where does V2 go?

left sternal edge
4th intercostal space

7

Where does V3 go?

midway between V2 and V4

8

Where does V4 go?

left mid-clavicular line
5th intercostal space

9

Where does V5 go?

left anterior axillary line
level with V4

10

Where does V6 go?

left mid-axillary line
level with V4 and V5

11

What do you put the limb adhesive pads on?

distal bony prominence

12

Where does the red lead go?

right arm

13

Where does the yellow lead go?

left arm

14

Where does the green lead go?

left leg

15

Where does the black lead go?

right leg (its the boring earth one)

16

What do you need to do when you're starting the ECG machine to avoid being a class A idiot?

Make sure that machine is switched on
Make sure there's paper loaded
Double check the electrodes are attached properly
Politely ask the patient to stay still and shut up
Press the start button