Cardioline HD+, User Manual

Page: 30 / 48

HD+
7.
EXECUTION OF THE EXAMINATION
26
2. Position the electrodes on the flat and fleshy parts of the arms and legs.
3. If a limb is not available, position the electrodes on a blood-supplied stump.
4. Apply the electrodes on the skin. Test the correct adherence, and therefore the good contact, by
pulling the electrode. If the electrode moves freely, replace it. If the electrode does not move easily,
a good electric contact is ensured.
It is important to locate the fourth intercostal space for an accurate positioning and monitoring of the
precordial leads. It is possible to locate the fourth intercostal space starting from the first intercostal space.
Given the variable conformation of the patient, palpating the first intercostal space accurately can be
difficult. Therefore, it is advisable to locate the second intercostal space by first palpating the small bone
protrusion known as the Angle of Louis, formed by the junction of the manubrium and the body of the
sternum. This protrusion of the sternum identifies the junction point of the second rib, and the space
immediately below it corresponds to the second intercostal space. Palpate and count following the trunk
until the fourth intercostal space is located.
Reference figure for the connection to the patient