EKG interpretation checklists

Here are the EKG Club's recommended steps for interpreting cardiac rhythms and 12-lead EKGs


For cardiac rhythm strip evaluation the EKG Club expert panel recommends paramedics, EMTs and students follow a repeatable pattern or process. Although not diagnostic, in many case examining each of these characteristics can help direct appropriate prehospital patient treatment:

  1. Heart rate
  2. P wave (Normal shape? Present? Followed by QRS?)
  3. PR interval (Normal? Short? Long? Irregular?)
  4. QRS interval (Normal? Short? Long? Irregular?)
  5. ST segment (Generally a normal shape?)
  6. T wave (Normally shaped? Tall? Short? Wide?)
  7. U wave (Present?)

Read more about EKG interpretation from Kevin Grange, Paramedic and EMS1 columnist. Grange describes the process he follows on every EKG to correctly identify the cardiac ryhthym

12-lead EKG interpretation steps

It is just as important to follow a repeatable pattern or checklist when interpreting a 12-lead EKG. In each lead examine the following:

  1. Rate and rhythm
  2. P wave
  3. PR interval
  4. QRS interval
  5. QRS complex and mean axis
  6. ST segment
  7. T wave
  8. U wave
  9. QT interval

Use each of these checklists as you review 12-lead EKG cases from the EKG club, ECG Guru and EMS 12-Lead.

Request product info from top Ambulance Disposable Supplies companies

Thank You!

By submitting your information, you agree to be contacted by the selected vendor(s).

Join the discussion

Brand Focus

Sponsored content
Quiz: Test your knowledge of the 2019 AHA guidelines for cardiac care

Quiz: Test your knowledge of the 2019 AHA guidelines for cardiac care

Do you know the most current protocols for treating arrhythmia, cardiac arrest and other heart conditions?

Copyright © 2019 EMS1.com. All rights reserved.