Right sided 12 lead

[Just Plain Ruff]

Anyone got a quick down and dirty reference for doing a right sided 12 lead?

our service does not do these right now but I'd like to start a trend.

Googling this gives me many many choices but some may or may not be right.

[scott33]

Not really a reference, but an interesting article all the same

http://www.jems.com/news_and_articles/colu...ight_Signs.html

And no doubt Bob Page's website has something on right-sided 12-leads.

[medic112]

i have been taught that we should start doing right sided 12 leads (time allowing) if we see ST elevation in the inferior wall leads (I / II / avf). as we know that most inferior wall MI's have some right sided ventricular involvement.

most us medics try and do that, again pending transport time and how the pt presents.

[spenac]

Here is some of Pages stuff do not recall if includes right side in this link.

http://homepage.mac.com/WebObjects/FileSha...=US&lang=en

[scott33]

i have been taught that we should start doing right sided 12 leads (time allowing) if we see ST elevation in the inferior wall leads (I / II / avf).

Typo???

[Just Plain Ruff]

Well the page on bob pages stuff includes the multilead medics course book. I have not found anything yet on the right sided ekg but I'm slowly sorting through it.

If anyone has a diagram that they can link that would be great.

I guess what I'm waniting is the procedure of doing the right sided ekg

do you put the leads on and then do a 12 lead like normal or is there other prep work.

I can do a regular 12 lead in my sleep, interepret it in my sleep yet I'm not fully grasping the process to do the right sided 12 lead.

Call me dense but I just want to do the best for my patients.

[reaper]

Move v4,v5,v6 over to the right side of the chest. If you just want a quick look for right side involvement do a V4R. just move V4 over to the right. Make sure you mark the 12 lead as a V4R, so there is no confusion!

[chbare]

Simply take your V leads and place them around the right side of the chest.

http://ccn.aacnjournals.org/cgi/content/full/25/2/52/F3

Take care,

chbare.

[Just Plain Ruff]

that was exactly the answer I wanted.

[scott33]

If you are going to do the "full" right-sided leads (as opposed to just flipping V4) remember to switch leads V1 and V2.

Another JEMS piece here