15 lead

-
Sorry Steven, it took me a few days to get your answer. Turns out I couldn't find pictures of a 15 lead, so I had to take a picture of the one out of my book. (credit to Bob Page.)

V4R goes where V4 goes only on the right side. Elevation in this lead alone is diagnostic of a right sided MI. (Occlusion of RCA)




V8 and V9 can show a posterior wall MI.






Ken- thankfully, my patient had a lot going on and his 3rd degree block sort of got better. Here we follow ACLS (advanced cardiac life support) from the American heart association (AHA) Probably the same protocols that you guys follow. Basically the only treatment for symptomatic and unstable 3rd degree block is pacing.

Comments

AFT said…
Hi Ellie

Thanks for the explanation.

I asked around a few people here and have been told that they routinely perform 15 leads in the hospitals, but we don't do them in the ambulance service.

Steven
09 June, 2008
Post a Comment

Popular posts from this blog

Well, Well, Well

-
Well, well, well, well, well.  I think 5 wells are enough.   I haven't blogged in over a year.  I am only here because facebook reminded me that my blogiversary was this week.   I even took the picture a day away from the blog and did it on Instagram in 2021.  HOW DISLOYAL! I spent this last year getting my feet wet in urgent care.  What a mixed bag of a career path.  Why not blog about all the crazy things I've seen?  I'm not sure.  One reason is I have a constant fear of HIPPA violations while working within my community.  Don't worry, I do have a list of funny things that have happened written down that I should entertain you with.   I would like to blog again as I've learned is that I need a creative outlet.  I need a stress relief.  I need a project.  I had (self diagnosed) depression earlier this winter as the covid positivity rate in my practice went from acceptable to probably 80-90% and I canceled all social activities and holidays.   How did I get my mojo
Click for More

Dueling Blogs

-
I have the immense privilege to be sitting right across from Maddog Medic in the flesh. We aren't speaking, though he is listening to me. Want to solve this riddle? He is transcribing an interview he did with me for his blog at this very moment. And I too am blogging at this very moment! How crazy?! I am stationed this week at the EMS today conference to stock up on professional wheelings and dealings and learn some stuff. This is a wonderful conference full of networking and new products and I learned already that one dose of glucagon costs $130. That's out of control! I cannot wait to catch up on disaster literature and EMS tricks of the trade and get as many free pens as I can at the expo tomorrow.  As for now, I'm headed to a class on smart stuff and pediatric breathing problems.  I am surrounded by EMS nerds and I love it! I spent the day learning about things above my pay grade such as how to read a chest x-ray and how to differentiate between subarachnoi
Click for More

WAP, the reveal!

-
Ah so, this vaguely mysterious plan. I can safely reveal it now, because if it falls through it will be the fault of "the system" and not of my own shortcomings. I have been accepted to grad school! That is the wild ass plan, but what makes it particularly "wild ass" is that to go to the school, my next step it to apply for an educational visa. If the plan continues successfully, I will soon be in DC getting my retinas scanned and fingerprints put into a database so that I can be a fake British citizen for a year. Why go to grad school in England? You may ask. Why not. Aside from being a huge Anglophile, I am in a spot in my life where I am unencumbered by mortgages, loans, husbands, children, or anything else big that may prevent this plan from being carried out at a later date. Also, when it's time for me to well, make more money, I can look for a job as a green emergency planner/manager. Though I have a feeling that it will take a long time for the par
Click for More