The Lewis Lead (S5)

How to place the electrodes for the Lewis Lead (S5)

from Christopher Watford's blog My Variables Only Have 6 Letters...

S5 Lead: You can produce this using many variations of the electrodes, however, for simplicity's sake we will stick with Kelly's description:

* Place the Right Arm electrode on the patient's manubrium.

* Place the Left Arm electrode on the 5th intercostal space, right sternal border.

* Place the Left Leg electrode on the right lower costal margin.

* Monitor Lead I.

Image from Paramedic Watford

Lewis Lead Enhances Atrial Activity Detection in Wide QRS Tachycardia

The Lewis Lead - Making Recognition of P Waves Easy During Wide QRS Complex Tachycardia

Christopher's ideal path to learning ECGs if he had to do it all again

1. Structured Learning: Garcia and Holtz "12-Lead ECG: The Art of Interpretation"

2. Depth of Knowledge: skip Dubin, get Chou's/Goldman's/Marriott's (something with meat)

3. Deliberate Practice: read 1000's of ECGs. Brady & Mattu "ECGs for the Emergency Physician", Marriott's "Challenging ECGs", Harvard's WaveMaven

4. Participate!

* Dr. Smith's ECG Blog

* The EKG Club

* EMS 12-Lead Blog

Structured Learning/Depth of Knowledge links:

http://library.med.utah.edu/kw/ecg/ (Alan E. Lindsay's ECG Learning Center)

http://lifeinthefastlane.com/ecg-library/

 CCTMC Conference

The Air Medical Physician Association is co-sponsoring an upcoming conference called CCTMC: Critical Care Transport Medicine Conference—info and brochure available here.

It’s 4.2.12 through 4.4.12 in Nashville.

This year’s opening talk at the conference, is “Upstairs Care Outside: Top Ten Tricks of the Trade for Bringing ICU-Level Care to the Transport Environment.”

And now on to the wee...