Skills Hub

ekg-cardiovascular

12-Lead Electrocardiogram (ECG/EKG)

Always tested on the CCMA

Perform a 12-lead electrocardiogram.

About this skill

12-lead ECG with proper lead placement (limb leads and precordial V1 through V6), artifact reduction, and standard speed (25 mm/sec) and calibration (10 mm/mV).

12 total steps
4 critical steps
Time limit: 10 min

What graders are watching for

  • 1
    Color coding: white (RA), black (LA), green (RL), red (LL)
  • 2
    V1 and V2 are septal; V3 and V4 are anterior; V5 and V6 are lateral
  • 3
    Artifact is the most common reason for unreadable tracings

Common mistakes (and how to avoid them)

  • !
    Switching the limb lead colors
  • !
    Placing V1 and V2 in the wrong intercostal space
  • !
    Talking during the tracing (causes artifact)

Practice this skill step-by-step

The static walkthrough above is the marketing overview. The full step-by-step interactive practice (with critical-step highlighting, per-step "why this matters" rationale, and what graders watch for on each individual step) is unlocked with a subscription.

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