Publication

Framework for assessment of the 12 lead ECG in transient loss of consciousness

Edwards, Timothy
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Keyword
Emergency Medical Services
 Arrhythmia
 Consciousness
 Channelopathies
 Thrombolysis
 Electrocardiogram (ECG)
Journal Title
Journal of Paramedic Practice
Book Title
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Publication Issue
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Publication End Page
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Publications - London Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/731
DOI
10.12968/jpar.2012.4.11.638
Abstract
Abstract published with permission. Following the introduction of pre-hospital thrombolysis, the acquisition and interpretation of the 12 lead ECG has become a routine part of UK paramedic practice. Although there is a growing body of evidence that confirms the diagnostic ability of paramedics in this area, little is known regarding the ability of paramedics to scrutinise the 12 lead ECG for other abnormalities. Recent publication of NICE guidance (NICE, 2010) relating to transient loss of consciousness (T-LOC) requires practitioners responsible for assessment of the 12 lead ECG post T-LOC to be competent in identifying a range of abnormalities. This paper describes a novel assessment framework in the form of a mnemonic designed to assist paramedic students in scrutinising the ECG for abnormalities post T-LOC. The need for further research to validate this assessment framework in educational and clinical settings is emphasised.
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