Paramedic how-to
How to Acquire and Transmit a 12-Lead ECG
Early 12-leads let hospitals prepare a cath lab before a heart attack patient arrives.
Early 12-leads let hospitals prepare a cath lab before a heart attack patient arrives. In short: explain; prepare; place, then complete the remaining steps below.
Step by step
Explain the procedure, expose the chest and maintain privacy.
Prepare the skin by drying sweat and removing hair where needed.
Place limb electrodes, then precordial leads V1 to V6 at the correct landmarks.
Ask the patient to stay still and breathe normally while you acquire the tracing.
Review the tracing for ST elevation and rhythm changes.
Transmit to the receiving hospital and notify them of a STEMI alert if indicated.
Safety reminders for paramedics
- Assess scene safety before approaching any patient
- Wear PPE and follow infection control on every call
- Use proper lifting techniques and lifting equipment
- Wear seat belts in the patient compartment whenever possible
Key terms
ALS · 12-lead ECG · STEMI · IO access · Capnography · Medical direction: see the full paramedic glossary.