ECG Interpretation Test (UHL)
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
Develop a systematic approach to interpreting the 12-lead ECG
Identify common ECG abnormalities
Recognise different STEMI ECG presentations
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.
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 Emergency Department Bradycardia protocol (Review: April 2019)
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:
Emergency Department STEMI management tool (Review: Oct 2019)
Emergency Department NSTEMI rule in/out management tool (Review: Sept 2019)
Coronary Artery Disease (CAD) likelihood tool (Review: Jan 2018)
Troponin interpretation tool (Review: TBC)
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.