Anyway, useful thoughts are:
- Check there is a 1mV calibration 1cm high and that the paper speed is 25mm/s (that much I remembered from my student days.
- Report rate, rhythm, axis, the QRS and then the ST segment and T waves, again this seemed familiar.
- Normal ranges are - rate 60-90 beats per minute, P-R interval (start of P to end of QRS) - 0.12-1.2ms, QRS less than or equal to 0.12ms, axis -30 to +90 degrees
- Look for the P waves, are they a consistent distance from the QRS? Is the distance in the normal range?
- Look at the QRS, is it a normal duration? Are there Q waves where there shouldn't be Q waves?
- Is the ST segment depressed? Elevated?
- Are T waves inverted?
- Back to calculating rates and intervals - one little square = 0.04s, one big square = 0.20s. For rate, count the little squares between 2 complexes and divide into 1500, assuming sinus rhythm.

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