ACLS Certification Association
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ACLS/BLS Preparation

Key Learning Points

ECG: Paper, Calipers, Rulers, Rate Calculation

ECG Time Page 2

  • The ECG small square is 0.04 seconds wide(a).
  • Large squares contain 5 small squares and are 0.20 seconds wide(b).
  • ECG recording strips contain 3 second timing markers(c).
  • ECG time can be described using seconds or milliseconds.
  • 0.04 seconds equals 40 milliseconds, 0.20 seconds equals 200 milliseconds.

ECG VoltagePage 3

  • Each small square represents 0.1 millivolt(a) of muscle depolarization sensed by the skin electrodes.
  • The ECG height(b) is a reflection of the amount of ventricular depolarization received from the skin electrodes.
  • The isoelectric line(c) represents and area with no cardiac electrical activity and lies between the P and T waves.
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