Tag Archives: axis deviation

Why learn axis?

Entry Img

A few weeks ago on JEMS Connect there was a thread called Vectors, Axis and Cardiology. In it, Dave M. asked: I truly enjoy learning and studying the heart, how it works and why it works that way. I had the privilege of teaching a paramedic class today and going over the vectors and axis […]

Axis Determination – Part VI

Entry Img

By now you can predict the QRS axis in the frontal plane within 15 degrees as long as you have an equiphasic (or isoelectric) lead in the frontal plane. So what constitutes a normal QRS axis? What is a left axis deviation? A right axis deviation? If you don’t have a copy of the hexaxial […]

Axis Determination – Part V

Entry Img

In Part IV, I promised that I’d show you a fascinating relationship between the standard 12 lead ECG and the hexaxial reference system. You will recall that to use the hexaxial reference system, you find the most equiphasic (or isoelectric) lead in the frontal plane (first 6 leads of the 12 lead ECG) and look […]

Axis Determination – Part IV

Entry Img

By now you should have a fairly good grasp of how the hexaxial reference system is derived from the first 6 leads of the 12 lead ECG. Before we break down the finished diagram, let’s look at the hexaxial reference system laying on top of the patient’s anterior chest, with the arrows and leads in […]

Axis Determination – Part III

Entry Img

In Part II, we discussed the heart’s mean electrical vector and how Einthoven’s Triangle (leads I, II, and III) can be redrawn to form the first 3 spokes of the hexaxial reference system. Essentially, we ended up with a shape like the one on the right. When leads I, II, and III are drawn this […]

Axis Determination – Part II

Entry Img

In Part I, we looked at Einthoven’s Equilateral Triangle and Einthoven’s Law, and I told you that it was the key to understanding the formation of the hexaxial reference system. But before we delve further into the hexaxial reference system (the instrument we’ll be using to calculate the heart’s QRS axis) we need to address […]

Axis Determination – Part I

Entry Img

Few subjects related to 12 lead ECG interpretation provoke more controversy (or anxiety) than axis determination. It is controversial in that not everyone agrees it is a necessary skill for prehospital providers to learn. It is anxiety provoking in that it can be difficult to understand, especially when taught poorly. I am of the opinion […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Comments
CC
80 Year Old Male: Fall
You know.. the story says "suddenly he found himself on the ground, which he attributes to tripping on the runner rug in the hallway." If you want to look at the patient first… an unwitnessed fall with that kind of EKG (long qt in particular) in an 80 year old male who has been on…
2014-08-13 04:02:10
David Baumrind
"Treat the patient not the monitor?"- Redux
Jason, thank you for your comments!
2014-08-11 18:21:02
The LITFL Review 141 - LITFL
Pit Crew CPR – The Explicit Details
[…] CPR? Read about it in a brief post by Tom Bouthillet of the EMS 12-Lead Blog. Tom also outlines the entire pit crew CPR model in this post. […]
2014-08-11 02:36:15
Jason
"Treat the patient not the monitor?"- Redux
David- I agree with your post to a point. I wholeheartedly agree with your frustration at those who post the catch phrase in question when we are discussing ekg's on line in a learning environment. This website has no room for the phrase. Give it your best attempt and read what others have to say.…
2014-08-10 17:45:09
The LITFL Review 135 - LITFL
Revisiting Transcutaneous Cardiac Pacing
[…] familiar with the various presentations of false capture while engaging in the procedure? Check out this detailed post from the EMS 12-Lead Blog. […]
2014-08-10 17:14:07

STEMI Expert?

  • Click here to find out!
  • 12-Lead ECG Challenge Smartphone App

    Photobucket

    12-Lead ECG Challenge Smartphone App - $5.99

  • Apple iOS
  • Android
  • Amazon
  • Web Based

  • FRN-TV video review
  • iMedicalApps.com review
  • Interested in resuscitation?

    FireEMS Blogs eNewsletter

    Sign-up to receive our free monthly eNewsletter

    Visitor Map / Stats

    Locations of visitors to this page


    LATEST EMS NEWS

    HOT FORUM DISCUSSIONS