title: 12-lead ECG training: the way forward.
abstract: 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.
authors.affiliation: Faculty of Health & Human Sciences, Hertfordshire Intensive Care and Emergency Simulation Centre, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, London AL10 9AB, United Kingdom. G.Aliner@herts.ac.uk
authors.forename: Guillaume
authors.initials: G
authors.lastname: Alinier
authors.forename: Ray
authors.initials: R
authors.lastname: Gordon
authors.forename: Colin
authors.initials: C
authors.lastname: Harwood
authors.forename: William B
authors.initials: WB
authors.lastname: Hunt
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003422:Critical Care; D003951:Diagnostic Errors / Q000517:prevention & control; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004562:Electrocardiography / Q000295:instrumentation / Q000379:methods / Q000451:nursing*; D004634:Emergency Medical Technicians / Q000193:education; D004739:England; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006301:Health Services Needs and Demand; D006801:Humans; D008348:Manikins; D017145:Models, Educational; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D018794:Problem-Based Learning; D016730:Program Development; D013663:Teaching / Q000458:organization & administration*
chemical_list: D005343:Fibrinolytic Agents