PhEDECs™ – level 3

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

Level 3 is the highest PhEDECs™ level. The aim of PhEDECs™

level 3 is to ensure learners can identify a full range of ECG

abnormalities and treat / refer / discharge as appropriate..


Entry criteria

PhEDECs™ level 3 is aimed at clinicians fulfilling levels 6+ on the

Skills for Health Career Framework. Examples include:

  • Prehospital

    • Specialist / Advanced Paramedic

  • In-hospital​

    • Advanced Clinical Practitioner

    • EM ST4+ Doctor

Please note: completion of level 2 (or similar course) is a

prerequisite to level 3 as the concepts therein will not be revisited.

Learning outcomes

  • Critically evaluate guidelines for safe discharge and referral

  • Critically review collateral circulation and ischaemic conditioning

  • Critically review Wiggers diagram and analyse its concepts in practice

  • Identify pre-excitation and critically review its clinical presentation: WPW, LGL, AVRT

  • Identify WAP and critically review its clinical presentation

  • Identify accelerated juntional rhythm and critically review its clinical presentation

  • Critically review the concept of abberancy and consider its implications for practice (VT vs SVT)

  • Identify accelerated idioventricular rhythm and critically review its clinical presentation

  • Identify SADS and critically review their clinical presentation: Long QT (TdP), Brugada, CPVT, WPW (AVRT)

  • Critically evaluate the types of MI (pathophysiology) and Smith's types (electrophysiology)

  • Critically review Smith's Subtle Anterior STEMI Calculator

  • Identify atrial hypertrophy and critically review its clinical presentation

  • Identify pericardial effusion and critically review its clinical presentation: electrical alternans and tamponade physiology

  • Identify cardiomyopathies and critically review their clinical presentation: HCM, DCM, ARVC

  • Identify hypothermia and critically review its clinical presentation

  • Identify hypothyroidism / hyperthyroidism and critically review their clinical presentation

  • Identify hypokalaemia / hyperkalaemia and critically review their clinical presentation

  • Identify hypocalcaemia / hypercalcaemia and critically review their clinical presentation

  • Identify hyperventilation and critically review their clinical presentation

  • Identify digoxin toxicity and critically review its clinical presentation

  • Identify extracardiac abnormalities and critically review their clinical presentation: stroke, SAH, muscular dystrophy, Friedrich's Ataxia

  • Identify findings associated with pacemakers and ICDs and critically review their clinical presentation

Duration

Two days (six + six 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.