Modified 9-lead Diagnostic ECG

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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 option
This 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 position
Manually 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

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