Physio-Control LIFEPAK 15 - Manual (Page 61)

MONITORING
4
©2007-2013 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
4-17
To locate the V1/C1 position:
1. Place your finger at the notch in the top of the sternum.
2. Move your finger slowly downward about 3.8 centimeters (1.5 inches) 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/C1 position.
5. Continue locating other positions from V1/C1 (see Figure 4-5).
Other important considerations:
• When placing electrodes on female or obese patients, always place leads V3-V6 and C3-C6
under the breast rather than on the breast.
• Never use the nipples as reference points for locating the electrodes for men or women
patients, because nipple locations vary widely.
12-Lead ECG Procedure
To acquire a 12-lead ECG:
1. Press ON .
2. Insert the lead attachments into the main cable as shown in Figure 4-6.
Figure 4-6 12-Lead ECG Cables
3. Insert the cable connector into the green ECG connector on the monitor.
4. Prepare patient’s skin for electrode application (see page 4-9).
5. Apply ECG electrodes (see page 4-16).
Protective flap
(open)
Main cable
(4-wire)
Precordial lead
attachment
Precordial lead
attachment
Limb lead
attachment
Main cable