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Interpretation of arrhythmias in the pediatric population. Rajesh Shenoy, M.D. The Children’s Hospital at Montefiore. Pediatric ECG Standardization. Paper speed is 25 mm/sec 1 large square = 0.2 sec 1 small square = 0.04 sec Voltage 10 mm/mv. Algorithm for reading ECGs. - PowerPoint PPT Presentation