12-lead ECG training: the way forward.

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.

[1]  P. Kudenchuk,et al.  Myocardial Infarction Triage and Intervention Project--phase I: patient characteristics and feasibility of prehospital initiation of thrombolytic therapy. , 1990, Journal of the American College of Cardiology.

[2]  O. Pahlm,et al.  Artificial neural networks for recognition of electrocardiographic lead reversal. , 1995, The American journal of cardiology.

[3]  R. Lloyd‐Mostyn.  National service framework for coronary heart disease , 2000, BMJ : British Medical Journal.

[4]  ScienceDirect.  The American journal of cardiology , 1958 .

[5]  Jane Marie Cioffi.  Clinical simulations: development and validation. , 2001, Nurse education today.

[6]  Apparent misplacement of chest electrode on left leg: a unique example of electrodal confusion. , 2001, The American journal of cardiology.

[7]  Norman Graves,et al.  Learner Managed Learning: Practice, Theory and Policy , 1994 .

[8]  Kentucky Workforce Investment Board.  Annual Report 2001-2002 , 2002 .

[9]  P. Kudenchuk,et al.  Prehospital-initiated vs hospital-initiated thrombolytic therapy. The Myocardial Infarction Triage and Intervention Trial. , 1993, JAMA.

[10]  Guillaume Alinier,et al.  Determining the value of simulation in nurse education: study design and initial results. , 2004, Nurse education in practice.

[11]  S. Allender,et al.  Coronary heart disease statistics. , 2008 .

[12]  D. Kolb.  Experiential Learning: Experience as the Source of Learning and Development , 1983 .

[13]  J. Boissel.  The European Myocardial Infarction Project: an assessment of pre-hospital thrombolysis. , 1995, International journal of cardiology.

[14]  G. Bowler.  P-51 ECG and arrhythmias during resuscitation: A new educational package from the resuscitation council (UK) , 1996 .

[15]  M. Millar-Craig,et al.  O-68 Paramedic 12-lead ECG diagnosis with direct admission to coronary care results in reduction in delay to thrombolysis , 1996 .