Jacqui Crawford, Linda Doherty
Journal of Paramedic Practice, Vol. 1, Iss. 8, 01 May 2009, pp 327 - 334

In 'Recording a standard 12-lead ECG: Filling gaps in knowledge' (Crawford and Doherty, 2009) the authors identified an apparent decline in the quality of electrocardiograms (ECGs) recorded in the clinical setting. Several primary steps to improve electrode placement and hence patient care were highlighted. This article will address additional issues that may also contribute to the decline in ECG quality and propose ways in which practice may be further improved.

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