The first step in your assessment should be to get a general sense of the EKG. Mentally note if you see something out of the ordinary and come back to it as you go through your assessment. Do all the leads look normal?
Is there normal R-wave progression? Is AVR inverted? Be very general in this first assessment.

The second step begins our formal analysis of the 12-lead EKG. Check the calibration block on the 12-lead. Is it standard, half-standard, or 2 times standard? Don’t forget to do this. Continue reading →