ECG Interpretation Test (UHL)


Test Instructions

  • You will be shown 20 ECGs, each with a single sentence of relevant clinical information

  • You will need to answer the multiple choice questions for each ECG

  • You can assume that the X-axis of each ECG is 25 mm/s and the Y-axis is 10 mm/mV

Learning Outcomes

  1. Develop a systematic approach to interpreting the 12-lead ECG

  2. Identify common ECG abnormalities

  3. Recognise different STEMI ECG presentations

  4. Differentiate between common Emergency Department arrhythmias


⚠️  If you do not pass: discuss your learning needs with your clinical or educational supervisor. When you feel ready, take the retest.

Additional Resources

ECG e-Learning Module:

This is an external course from Canada developed to cover a systematic approach to interpreting the ECG and identifying common ECG abnormalities. Whether you are starting to learn, need more practice or are just looking a resource for revision this is a good place to start.

Emergency Medicine ECG Blog

Life in the Fast Lane is an excellent Emergency Medicine resource which provides further detailed information regarding ECG’s for those who would like to learn in more detail. This includes ECG A-to-Z by diagnosis and clinical ECG cases.

arrhythmia guidelines: Resuscitation Council & UHL ED

Arrhythmias are a common presentation to the Emergency Department. Having interpreted the ECG correctly, the following links outline the assessment of adverse features and management:

UHL guidelines: STEMI & NSTEMI rule in/out

Acute coronary syndromes are common presentations to the Emergency Department. Having interpreted the ECG correctly, the guidelines below outline further treatment, investigation and management:

Cardiac arrest guidelines: Resuscitation Council & UHL ED

Cardiac arrest is a common presentation to the Emergency Department Emergency Room on a daily basis. Please become familiar with the following guidelines:

Weekly ECG cases

If you have worked through the resources and would like a weekly ECG challenge then check out this website by Dr Mattu, Emergency Physician from the University of Maryland Department of Emergency Medicine for a detailed ECG case every week (subscription required).

ECG's not to miss in the ED

How many ECG’s do you see in your average shift in ED. Ensuring that your skills of interpretation are of high quality is imperative. There are certain ECGs patterns and diagnoses that require specific knowledge and you can’t afford to miss. This vodcast runs through a few of these presentations and will help ensure you’ll pick up these cases when the ECG is thrust into your hands to be checked.