Modified 9-lead Diagnostic ECG Using the Physio-Control LP10 “Old dog tricks” Gary Denton.

Modified 9-lead Diagnostic ECG

Using the Physio-Control LP10“Old dog tricks”

Gary Denton

Test

Confirm option is activated

Press RECORD for 1.0 - 2.0 seconds DIAG should appear on screen.

If DIAG does not appear...

YOU MUST LOAD THE OPTION

To activate diagnostic quality option...

• Locate LP 10 programming key

• Place battery into slot one.• Turn power off• Insert LP 10 programming key into AUX port

Turn Power Switch to BATT 1 & Remove key

Verify o01 appears on status display

Press ECG SIZE to change option status to o01

Verify 1 appears in upper right screen

Press QRS VOL until # 1 appears in upper right screen

Set Option

Press CAL, BEEP will sound. Option is now loaded

Confirm option is activated

Confirm option is activated

Press RECORD for 1.0 - 2.0 seconds DIAG should appear on screen.

Obtaining the Diagnostic ECG

Go directly to these steps if DIAG option is already activated on your

LP10

Place Electrodes

Place Lead Wires

Select Lead 1

Select DIAG optionThis activates the recorder

Press RECORD for 1.0 - 2.0 seconds DIAG should appear on screen.

Scroll through leads 1,2,3 (recorder will be on)

Watch for baseline to stabilize

Obtain one full cardiac cycle for each lead

Leave switch in lead 3 positionManually obtain V-leads

Move from V-1 through V-6

Watch for baseline to stabilize

Obtain one full cardiac cycle for each lead

Stop recorder when complete

Mark leads with pen

Cut and Paste ECG

Diagnostic 9 Lead

Advantages

• Can be done with existing equipment

• Provides adequate diagnostic picture for AMI

• Requires no special equipment

Diagnostic 9 Lead

Disadvantages

• Does not produce a “standard format” ECG

• Take more time than conventional 12-lead

• Harder to mount and label

• Often rejected by ED staff

• Lacks leads aVR, aVL, and aVF

• No computer interpretation