Treloars at 17:39, 1 February 2018

2018-02-01T17:39:47Z

← Older revision		Revision as of 17:39, 1 February 2018
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	The monitor acquires 10 seconds of ECG data for each 12-Lead ECG requested. If the monitor detects signal noise while acquiring data (such as patient movement or disconnected electrode), the monitor displays the message WAITING FOR GOOD DATA.		The monitor acquires 10 seconds of ECG data for each 12-Lead ECG requested. If the monitor detects signal noise while acquiring data (such as patient movement or disconnected electrode), the monitor displays the message WAITING FOR GOOD DATA.

	[[Category:Procedure Guidelines]]		[[Category:Procedure Guidelines\|0906]]

Treloars: /* Procedure Guidelines */

2012-04-02T01:25:09Z

Procedure Guidelines

← Older revision		Revision as of 01:25, 2 April 2012
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	The monitor acquires 10 seconds of ECG data for each 12-Lead ECG requested. If the monitor detects signal noise while acquiring data (such as patient movement or disconnected electrode), the monitor displays the message WAITING FOR GOOD DATA.		The monitor acquires 10 seconds of ECG data for each 12-Lead ECG requested. If the monitor detects signal noise while acquiring data (such as patient movement or disconnected electrode), the monitor displays the message WAITING FOR GOOD DATA.

			[[Category:Procedure Guidelines]]

Treloars: /* Procedure Guidelines */

2012-04-01T22:47:28Z

Procedure Guidelines

← Older revision		Revision as of 22:47, 1 April 2012
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	==Procedure Guidelines==		==Procedure Guidelines==
	===9.06 CARDIAC MONITOR===		===9.06 CARDIAC MONITOR===

	~~====QUICK LOOK METHOD====~~

	~~=====INDICATIONS:=====~~
	~~In cardiac arrest for initial rhythm observation prior to application of Fast patch or 3 Lead Electrodes.~~
	~~=====PROCEDURE:=====~~
	* Remove clothing from patient's chest.
	* Check to make sure there is no charge on the paddles.
	* Use lubrication gel for conduction.
	* Check rhythm by firmly applying paddles:
	* Apply STERNUM paddle to the upper sternum slightly toward the right shoulder.
	* Apply APEX paddle to the anterior axillary line, below the nipple.
	* Ensure the monitor is in the PADDLES mode in the lead selection.

Treloars: /* Procedure Guidelines */

2012-03-01T21:24:03Z

Procedure Guidelines

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2012-03-01T20:46:10Z

Created page with "==Procedure Guidelines== ===9.06 CARDIAC MONITOR=== ====QUICK LOOK METHOD==== =====INDICATIONS:===== In cardiac arrest for initial rhythm observation prior to application of..."

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==Procedure Guidelines==
===9.06 CARDIAC MONITOR===

====QUICK LOOK METHOD====

=====INDICATIONS:=====
In cardiac arrest for initial rhythm observation prior to application of Fast patch or 3 Lead Electrodes.
=====PROCEDURE:=====
* Remove clothing from patient's chest.
* Check to make sure there is no charge on the paddles.
* Use lubrication gel for conduction.
* Check rhythm by firmly applying paddles:
* Apply STERNUM paddle to the upper sternum slightly toward the right shoulder.
* Apply APEX paddle to the anterior axillary line, below the nipple.
* Ensure the monitor is in the PADDLES mode in the lead selection.

====FAST PATCH METHOD====

=====INDICATIONS:=====
Determination and monitoring of cardiac rhythms with anticipation of defibrillation.
=====PROCEDURE:=====
* Remove clothing from patient's chest.
* Apply Fast Patch pads:
* Apply PAD and STERNUM wire to upper sternum slightly toward right shoulder.
* Apply PAD and APEX wire to the anterior (mid-axillary) line below the nipple.
* Ensure the paddles are in FAST PATCH adapter with the paddles in the proper side.
* Ensure the monitor is in the PADDLES mode in the lead selection.

====THREE LEAD METHOD====

=====INDICATIONS:=====
Determination and monitoring of cardiac rhythms.
=====PROCEDURE:=====
* Remove clothing from area electrodes will be placed.
* Apply wires to electrodes.
* Place on patient as illustrated for selection lead.
SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES
PRACTICE PARAMETERS
2009
Page 2 of 5
Placement for monitoring Lead II Placement for monitoring MCL I
Placement for monitoring Leads I, II, and III
LEAD 2 LEAD MCL 1
II III
I
SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES
PRACTICE PARAMETERS
2009
Page 3 of 5
Procedure Guidelines
9.06
CARDIAC MONITOR
INDICATIONS:
Any patient greater than 35 years of age with any of the following signs or symptoms:
 Chest pain
 Dyspnea
 Palpitations
 Weakness
 Diaphoresis
 Pre-syncope, syncope
 Nausea, vomiting
 Stroke
 Dysrythmias
 Post-resuscitation
 Pre and post-cardioversion
 During PEA to help identify the cause
 For Confirmation of Asystole
 Upper torso pain (above the umbilicus), ex. extremities
 Trauma to the Upper Torso
 Suspected Electrolyte Disturbances (e.g. DKA, dehydration, renal failure/dialysis, toxic
ingestions, etc...)
PROCEDURE:
Insert the limb lead and the precordial lead attachment into the main cable as shown below:
Procedure Guidelines
Main Cable
Limb lead
attachment
Precordial lead
attachment
Protective flap
(open)
SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES
PRACTICE PARAMETERS
2009
Page 4 of 5
9.06
CARDIAC MONITOR
Limb Lead Electrode Sites
When acquiring a 12-Lead ECG, the limb lead electrodes are typically placed on the wrists and the ankles
as illustrated below. In fact the limb lead electrodes can be placed anywhere along the limbs. However,
do not place the leads on the torso when acquiring a 12-Lead ECG or you will record a non-standard
report.
LA/L
LL/F
RA/R
RL/F
N
Precordial Lead Electrode Sites
The six precordial (chest) leads are placed on specific locations on the chest. Proper placement is
important for accurate diagnosis and should be identified as shown below:
Lead Location
V1 Fourth intercostal space to the right of the sternum
V2 Fourth intercostal space to the left of the sternum.
V3 Directly between leads V2 and V4.
V4 Fifth intercostal space at midclavicular line.
V5 Level with V4 at left anterior axillary line.
V6 Level with V5 at left midaxillary line. (Midpoint of
armpit).
Procedure Guidelines
AHA Labels IEC Labels
RA Right Arm R Right
LA Left Arm L Left
RL Right Leg N Negative
LL Left Leg F Foot
SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES
PRACTICE PARAMETERS
2009
Page 5 of 5
9.06
CARDIAC MONITOR
Locating the V1 position (fourth intercostal space) is critically important because it is the reference
point for locating the placement of the remaining V leads. To locate the V1 position:
 Place your finger at the notch in the top of the sternum.
 Move your finger slowly downward about 1.5 inches until you feel a slight horizontal ridge
or elevation. This is the “angle of Louis” where the manubrium joins the body of the
sternum.
 Locate the second intercostal space on the right side, lateral to and just below the angle of
Louis.
 Move your finger down two more intercostal spaces to the fourth intercostal space, which is
the V1 position.
Other important considerations:
 When placing electrodes on female patients, always place leads V3 - V6 under the breast
rather than on the breast.
 Never use the nipples as reference points for locating the electrodes for men or women
patients because nipple locations may vary widely.
The monitor acquires 10 seconds of ECG data for each 12-Lead ECG requested. If the monitor detects
signal noise while acquiring data (such as patient movement or disconnected electrode), the monitor
displays the message WAITING FOR GOOD DATA.

Cardiac Monitor - Revision history

Treloars at 17:39, 1 February 2018

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Treloars: Created page with "==Procedure Guidelines== ===9.06 CARDIAC MONITOR=== ====QUICK LOOK METHOD==== =====INDICATIONS:===== In cardiac arrest for initial rhythm observation prior to application of..."