PhEDECs™ – level 2

12-lead ECG acquisition and interpretation is a fundamental part of effective emergency medical care and a professional requirement for both prehospital and emergency department staff.    

 

PhEDECs™ comprises three levels, reflective of the three levels of practice seen in prehospital and in-hospital emergency medicine. The course content is mapped to HCPC (Paramedics) and NMC (Nursing) Standards of Proficiency, as well as the RCEM EM Trainee and EC-ACP curricula.  

PhEDECs™ syllabus (full)

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Course overview

Faculty

Silas2

Silas Houghton Budd DipECG

Specialist paramedic (critical care)

Jamie2

Jamie Webb

Specialist paramedic

(urgent and emergency care)

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Ryan Murray

Ambulance paramedic

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Aim

The aim of PhEDECs™ level 2 is to ensure learners are be able to

recognise common ECG patterns, critically evaluate them in the

context of their clinical presentation and provide appropriate

patient care.


Entry criteria

PhEDECs™ level 2 is aimed at clinicians fulfilling levels 5–6 on the

Skills for Health Career Framework. Examples include:

  • Prehospital

    • Band 6 Paramedic

  • In-hospital

    • Trainee Advanced Clinical Practitioner​

    • Band 6 Nurse

    • EM ST1–3 Doctor

Please note: completion of level 1 (or similar course) is a prerequisite

to level 2 as the fundamental concepts will not be revisited.

Learning outcomes

  • Analyse ECG findings in relation to the clinical context (pre- and post- test probability)

  • Critically evaluate ECG patterns: sensitivity, specificity, PPV, NPV

  • Understand anatomical variants and critically evaluate their impact on ECG interpretation

  • Understand correct electrode placement and critically evaluate the use of non-standard ECG leads: posterior and right-sided

  • Calculate QT interval using Bazett's formula and critically review the use of the QT nomogram

  • Calculate the cardiac axis

  • Identify sinus arrhythmia and critically review its clinical presentation

  • Identify VT and critically review its clinical presentation

  • Analyse the common ECG findings associated with VT

  • Identify AF and critically review its clinical presentation

  • Identify atrial flutter and critically review its clinical presentation

  • Identify AVNRT and critically review its clinical presentation

  • Identify SSS and critically review its clinical presentation

  • Identify escape rhythms and critically review their clinical presentation

  • Identify ventricular standstill and critically review its clinical presentation

  • Identify fascicular blocks and critically review their clinical presentation: unifascicular, bifascicular, 'incomplete trifascicular',
    and trifascicular

  • Identify OMI and critically review its clinical presentation

  • Critically evaluate the ECG findings associated with OMI: Q waves, STE, OMI changes

  • Critically review the Sgarbossa and Smith-modified Sgarbossa criteria

  • Identify ventricular hypertrophy and critically review its clinical presentation

  • Identify pericarditis and critically review its clinical presentation

  • Identify massive PE and critically review its clinical presentation

Duration

One day (eight hours)

Certification / accreditation / endorsement

Certified by PREMED. CPD certificate upon completion of the course.

Location

Canterbury, Kent.

Disclaimer 

Please note: PhEDECs™ does not qualify the learner to provide interventions

outside the scope of practice set by their employer and/or regulatory body.