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Cardiac - 12-Lead Electrocardiogram (includes transmission)

 


Clinical Indications:

= ______  1.      Know= n or Suspected Cardiac Patient

= ______  2.      Know= n or Suspected Respiratory Patient

= ______  3.      Know= n or Suspected Tricyclic Overdose

= ______  4.      Elec= trical Injuries

= ______  5.      Sync= ope

 

Procedure:

= ______  1.      Asse= ss patient and monitor cardiac status.

= ______  2.      Admi= nister oxygen per patient condition as tolerated.

= ______  3.      If p= atient is unstable, definitive treatment is the priority.  If the patient is stable or stabil= ized after treatment, perform a 12-lead ECG.

= ______  4.      Prep= are ECG monitor and pre-cordial lead cables.

= ______  5.      Enter patient demographic data.

= ______  6.      Expo= se the chest and prep as necessary.  Modesty should be considered.

= ______  7.      Apply chest leads and limb leads as follows:

·      =    RA----right arm

·      =    LA----left arm

·      =    RL----right leg

·      =    LL----left leg

·      =    V1----4th intercostal space at right sternal border

·      =    V2----4th intercostal space at left sternal border  

·      =    V3----Directly between V2 and V4

·      =    V4----5th intercostal space at midclavicular line

·      =    V5----Level with V4 at the left anterior axillary line

·      =    V6----Level with V5 at the left midaxillary line<= o:p>

= ______  8.      Inst= ruct patient to remain still.

= ______  9.      Pres= s the 12 lead acquisition button on the monitor.<= /o:p>

= ______  10.  If t= he monitor detects a problem, such as loose leads, bad connection, noisy data,= the monitor will alarm.  The EMT-P should address the problem.

= ______  11.  Once acquired, transmit to the appropriate receiving facility.=

= ______  12.  Cont= act the receiving facility to notify them of the patient and the incoming 12-le= ad.

= ______  13.  Moni= tor and reassess the patient enroute and continue treatment protocol.

= ______  14.  Atta= ch a copy of the 12-lead with the patient’s record at the hospital.

= ______  15.  Docu= ment the procedure, time, results and findings in the electronic PCR.=

 

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

 

 

 

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