Site Map	Record and Interpret a 12 Lead ECG

• Introduce yourself and check the patient's identity
• Discuss procedure with the patient
• Read the instructions and familiarise yourself with the machine being used
• Attach the limb leads
  • AVR - Right wrist | Red
  • AVL - Left wrist | Yellow
  • AVF - Left ankle | Green
  • Neutral - Right ankle | Black
• Attach the chest leads
  • V1 - 4th intercostal, right sternal border
  • V2 - 4th intercostal, left sternal border
  • V3 - Midway between V2 & V4
  • V4 - 5th intercostal, mid clavicular line
  • V5 - 5th intercostal, anterior axilary line
  • V6 - 5th intercostal, mid axillary line
• Ensure the machine is set to the correct speed (25ccm/sec) & amplitude (test should be 1 cm)
• Ensure the patient is relaxed & resting comfortably
• Record & evaluate quality of recording
• Discuss interpretation with superviser
• Able to recognise:
  • Ischaemia
  • Infarction
  • Bundle branch block
  • 1st, 2nd & 3rd degree heart block
  • Atrial fibrillation
  • Common tachyarrythmias

	Any comments or feedback please contact me by email: Tom Williams