Cheatography
https://cheatography.com
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This is a draft cheat sheet. It is a work in progress and is not finished yet.
Introduction:
W |
Wash Hands |
I |
Introduce Yourself + Check Patient's Identity |
P |
Permission |
P |
Patient Position + Pain |
E |
Explain + Expose Clinical Area |
Patient must be placed at 45° with chest and limbs exposed
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Attach Tabs:
Chest Leads: |
V1 + V2 |
4th Intercostal Space |
Right (V1) + Left (V2) |
V4 |
5th Intercostal Space |
Mid-clavicular line |
V3 |
Half-way between V2 + V4 |
V5 + V6 |
V4 Horizontal Plane |
Anterior (V5) + Mid-Auxillary (V6) Line |
Limb Leads: |
RA + LA |
Proximal to Wrist |
Palmar Side (Ventral Aspect) |
RL + LL |
Proximal to Ankle |
Antero-lateral Aspect |
All tabs should face down except for legs which should face upwards
|
Attaching Cables:
Place the box attached to electrodes between the patient's legs
Sort and tidy Limb + Chest leads |
Chest Leads: |
Connect V1-V6 |
Limb Leads: |
Connect RA→LA→LL→RL
Red→Yellow→Green→Black |
Check all leads are connected and displayed on screen |
Cover Patient |
Recording ECG:
Enter Patient Details + Check Against Wristband |
Ask patient to remian still |
Record ECG |
Tidy-up:
Disconnect electrodes + place neatly on machine |
Remove all tabs |
Sit patient up and help them dress |
Thank patient and reverse WIPPE |
Intrepeting ECG:
Errors: |
Incorrect Chest Leads: |
Incorrect Limb Leads: |
Wandering Trace: |
Electrical Interference: |
Pathologies: |
Regular Sinus Rhythm |
Sinus Tachycardia |
Atrial Fibrillation |
ST Elevation MI (STEMI) |
Ventricular Tachycardia |
Heart Block I,II,III |
AV Node Re-entrant Tachycardia/Paroxysmal Supraventricular Re-entrant Tachycardia |
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