Gillian is a cheerful, active teenager who is having an ECG as part of a physical required by her school to participate in cheerleading activities. You explain that she needs to remain very still while you record the ECG. You begin the tracing, as shown in the picture. Although Gillian remains still, when she sees the look on your face, she asks, "What's wrong?" What abnormality is visible in lead V6, and what is your best choice of action?
A. Somatic interference; ask Gillian again to remain still
B. Wandering baseline; check for loose electrodes
C. AC interference; turn off nearby electrical equipment
D. Flat line; check pulse and respirations and begin CPR
E. Flat line; look for loose or disconnected wires
E. Flat line; look for loose or disconnected wires
V6 shows a flat line. Since Gillian is still talking, she is not in cardiac arrest, so you should check the electrode and wire for V6 for to see if it has become loose or disconnected.
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