Limb lead electrode sites, Precordial lead electrode sites, Acquiring a 12-lead ecg – Physio-Control LIFEPAK 15 User Manual
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LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Acquiring a 12-Lead ECG
Limb Lead Electrode Sites
When acquiring a 12-lead ECG, limb lead electrodes are typically placed on the wrists and
ankles as shown in Figure 4-4. The limb lead electrodes can be placed anywhere along the
limbs. Do not place the limb lead electrodes on the torso when acquiring a 12-lead ECG.
Figure 4-4 Limb Lead Electrode Placement for 12-Lead ECG
Precordial Lead Electrode Sites
The six precordial (chest) leads are placed on specific locations as shown and summarized in
Figure 4-5. Proper placement is important for accurate diagnosis and should be identified as
follows: leads are V1 through V6 for AHA, or C1 through C6 for IEC. See "ECG Leads Color
Codes" on page 4-10 for color codes.
Figure 4-5 Precordial Lead Electrode Placement
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/C leads.
RA/R
LA/L
LL/F
RL/N
AHA Labels
IEC Labels
RA
Right Arm
R
Right
LA
Left Arm
L
Left
RL
Right Leg
N
Negative
LL
Left Leg
F
Foot
LEAD
LOCATION
V1
C1
Fourth intercostal space to the right of the sternum
V2
C2
Fourth intercostal space to the left of the sternum
V3
C3
Directly between leads V2/C2 and V4/C4
V4
C4
Fifth intercostal space at midclavicular line
V5
C5
Level with V4/C4 at left anterior axillary line
V6
C6
Level with V5/C5 at left midaxillary line
Angle of
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