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Chapter 14 12-Lead ECG Interpretive Analysis
14-6
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Place the precordial electrodes across the chest in the following locations:
Locating the V1/C1 position (fourth intercostal space) is critically important because it is the
reference point for locating the placement of the remaining V-leads. To locate the V1/C1
position:
1. Place your finger on top of the jugular notch (see figure below).
2.
Move your finger slowly downward about 1.5 inches (3.8 centimeters) until you feel a slight
horizontal ridge or elevation. This is the “Angle of Louis,” where the manubrium joins the
body of the sternum.
3.
Locate the second intercostal space on the patient’s right side, lateral to and just below the
“Angle of Louis.”
4.
Move your finger down two more intercostal spaces to the fourth intercostal space which is
the V1 position.
Note:
When placing electrodes on female patients, always place leads V3-V6 under the
breast rather than on the breast.
Electrode
Placement
V1/C1
Fourth intercostal space, at the patient’s right sternal margin.
V2/C2
Fourth intercostal space, at the patient’s left sternal margin.
V3/C3
Midway between V2/C2 and V4/C4.
V4/C4
Fifth intercostal space, on the patient’s midclavicular line.
V5/C5
Patient’s left anterior axillary line, at the horizontal level of V4.
V6/C6
Patient’s left midaxillary line, at the same horizontal level as V4 and V5.
Jugular Notch
Angle of Louis
Summary of Contents for X Series
Page 1: ...Includes Real CPR Help and See Thru CPR X Series Operator s Guide 9650 001355 01 Rev M...
Page 64: ...Chapter 2 Product Overview 2 24 www zoll com 9650 001355 01 Rev M...
Page 74: ...Chapter 3 Monitoring Overview 3 10 www zoll com 9650 001355 01 Rev M...
Page 80: ...Chapter 4 Trends 4 6 www zoll com 9650 001355 01 Rev M...
Page 90: ...Chapter 5 Alarms 5 10 www zoll com 9650 001355 01 Rev M...
Page 110: ...Chapter 7 Monitoring Respiration Resp and Heart Rate HR 7 10 www zoll com 9650 001355 01 Rev M...
Page 126: ...Chapter 8 Monitoring Non Invasive Blood Pressure NIBP 8 16 www zoll com 9650 001355 01 Rev M...
Page 156: ...Chapter 10 Pulse CO Oximetry SpO2 10 18 www zoll com 9650 001355 01 Rev M...
Page 166: ...Chapter 11 Monitoring Invasive Pressures IBP 11 10 www zoll com 9650 001355 01 Rev M...
Page 198: ...Chapter 14 12 Lead ECG Interpretive Analysis 14 16 www zoll com 9650 001355 01 Rev M...
Page 218: ...Chapter 16 Advisory Defibrillation 16 6 www zoll com 9650 001355 01 Rev M...
Page 224: ...Chapter 17 Analysis CPR Protocol Defibrillation 17 6 www zoll com 9650 001355 01 Rev M...
Page 234: ...Chapter 18 External Pacing 18 10 www zoll com 9650 001355 01 Rev M...
Page 242: ...Chapter 19 Real CPR Help 19 8 www zoll com 9650 001355 01 Rev M...
Page 254: ...Chapter 21 Patient Data 21 6 www zoll com 9650 001355 01 Rev M...
Page 338: ...Specifications A 38 www zoll com 9650 001355 01 Rev M...