Learn / Foundations
ECG foundations
Rate
The 300 method, the 1500 method, and reading rate straight off an RR.
Understand the measurements
Rate by the ladder
The ladder is the 300 method drawn out. Rate = 300 / large boxes, so 1, 2, 3, 4, 5, 6 boxes read 300, 150, 100, 75, 60, 50. It is quick and coarse, which is fine for a regular rhythm.
Rate by the 1500 method
At 25 mm/s the paper covers 1500 mm in a minute, so there are 1500 small boxes per minute. Rate = 1500 / small boxes in one RR. Twenty boxes is 1500 / 20 = 75 bpm.
RR in milliseconds
Rate = 60000 / RR in ms, because there are 60000 ms in a minute. Monitors do exactly this arithmetic on every beat.