O-68 Paramedic 12-lead ECG diagnosis with direct admission to coronary care results in reduction in delay to thrombolysis

Furber, Roland; Thomas, B; Joy, Anthony; Adamowicz, M; Millar‐Craig, M.W.

doi:10.1016/0300-9572(96)83856-1

Cited by 1 publication

(2 citation statements)

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“…In the near future all UK ambulance services will have to replace their current 3 -4 lead monitoring systems with 12-lead ones, which means that a great number of staff, as quantified earlier in this paper, will require appropriate training. This need has been identified because paramedic 12-lead ECG diagnosis helps in reducing the delay times before the injection of thrombolysis by permitting earlier identification of victims of Myocardial Infarction (MI) and enabling their admission directly to a coronary care unit (Furber et al 1996).…”

Section: Discussionmentioning

confidence: 99%

“…For this reason there is a national increase in the use of 12-lead ECG in the hospital and pre-hospital setting. Research has already shown that accurate and early diagnosis of a myocardial infarction can be achieved by a trained paramedic, and this can be a basis for earlier thrombolysis (Furber et al 1996). The speed and accuracy of diagnosis required demands a high level of confidence and skill on the part of the health professional involved.…”

Section: The Need For 12-lead Ecgmentioning

confidence: 99%

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12-Lead ECG training: The way forward

Alinier

Gordon

Harwood

et al. 2006

Nurse Education Today

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The teaching of electrocardiography (ECG) monitoring has not changed for decades and still very much relies on access to real patients for practice. However there is nowadays an even greater need for modern training tools in this field as more healthcare professionals than ever before need to be trained on 12-lead ECG monitoring techniques. For example in many parts of the UK ambulance paramedics use features observed from 12-lead ECG monitoring equipment to determine whether or not a patient can receive pre-hospital thrombolytic therapy. Because important decisions are made without the presence of a cardiologist, it is essential that the training is carried out with the most realistic tools, including tools which give realistic feedback of the consequences of incorrect electrode placement. Current mannequins for ECG training are designed with protruding electrodes on the chest, which act as cues for trainees. There is therefore a need for a realistic simulation training tool to teach 12-lead ECG interpretation which includes the ability to give this feedback. We are currently working on the development of such a training tool and it is expected that it will be of great interest to medical, nursing and paramedic schools.

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Section: Discussionmentioning

confidence: 99%

Section: The Need For 12-lead Ecgmentioning

confidence: 99%