EMCrit Wee: The Lewis Lead and a course in ECGs with Christopher Watford - a podcast by Scott D. Weingart, MD FCCM

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...

Further episodes of EMCrit Podcast

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