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What is the Magical Lewis Lead? Dr. Amal Mattu gave a phenomenal lecture last year during ResusX:ReWired. The pearls from the lecture are found below.
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- Lewis lead is a modified ECG lead that augments the analysis of atrial activity
- Useful when trying to determine VT vs atrial tachycardias
- Here’s how to do it:
- Move RA to the manubrium
- Move LA to right 5th intercostal space next to sternum
- Move LL to right lower costal margin
- Lewis lead is read on lead I (but look everywhere for atrial activity)