How to perform a good ECG .
PART 2-LEAD PLACEMENT
1.The first thing is get acquitted with lead placement.2. Know the ECG machine and its controls.
Lead placement.
There are 12 leads during the recording of an ECG.
-6 chest leads- V1-V6
-6 Limb leads-.aVR, aVL, aVF, 1,2,3.
(3 limb leads are created by virtue of placing 3 limb leads- aVR, aVF, aVL and hence are known as imaginary leads.)
LIMB LEAD PLACEMENT.
-Let the patient lie supine on a couch, bed.-Clean the electrode sites using some alcohol and cotton wool (swab)
-Put the limb electrodes on the inner aspect while having applied some gel to achieve good conductance.
They are color coded and marked for easy identification
The N -Neutral is the ground electrode placed on the right foot.
CHEST LEAD PLACEMENT
V1 -4th intercostal space on the right 1cm from the sternum
V2 -4th intercostal space on the left 1cm from the sternum.
V3 -Between V2 and V3
V4 -5th intercostal space mid-clavicular line.
V5 -5th intercostal space anterior axillary line.
V6 -5th intercostal space mid axillary line.
COMMON MISTAKE- is counting from the clavicle as your first rib.
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