Page 246 - 2023 SMOG Digital
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12-LEAD ELECTROCARDIOGRAM
CLINICAL INDICATIONS:
• Suspicion of arrhythmia.
• Chest pain believed to be of cardiac origin.
• Toxic ingestion with cardiac side-effects.
CONTRAINDICATIONS:
• None
PROCEDURE:
• Ensure patient lying flat on bed and place leads as per diagram.
• If patient is unstable, address any emergent issues prior to attempting the 12-lead EKG.
• May have to shave and/or dry patient for pad adhesion.
• Once leads are in place, instruct the patient to remain still and limit any movements around the patient (as
possible).
• Press button to obtain 12-lead EKG.
• If questions exist, maintain supportive care and contact medical control if able.
Document procedure, results, and vital signs.
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