ECG diagnostic of first contact by means of eight steps

Česká verzia

Authors: Peřan- D. ^{1 3}; Cmorej C. P. ^4,5; Nesvadba M. ⁶; Pekara J. ^1,3; Bulíková T. ^7,8
Authors place of work: Zdravotnická záchranná služba hl. m. Prahy ¹; Kabinet veřejného zdravotnictví, 3. LF UK, Praha ²; Vysoká škola zdravotnická, Praha ³; Zdravotnická záchranná služba Ústeckého kraje, p. o. ⁴; Fakulta zdravotnických studií, UJEP v Ústí nad Labem ⁵; Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, Bratislava ⁶; Katedra urgentnej zdravotnej starostlivosti, SZU Bratislava ⁷; ZZS Life Star Emergency, Limbach ⁸
Published in the journal: Kardiol Rev Int Med 2020, 22(1): 33-35

Summary

The paper describes the development of an algorithm for the basic evaluation of the electrocardiogram (ECG) by means of eight steps, in which both rhythm and ischaemic changes are evaluated. The eight-step ECG evaluation method was modified and the algorithm was developed through action research and a modified Delphi method. The procedure can be used by all healthcare professionals in primary care, i.e. nurses, paramedics and general practitioners. This method is a modified interpretation of the ECG. It is not a substitute for conventional electrocardiogram assessment, but makes it a useful diagnostic tool for healthcare professionals with less experience in this area.

Keywords:

Primary care – standardisation – ECG evaluation – arrhythmias – ischaemic change

Zdroje

1. Lott C et al. Advanced Life Support: Course Manual. Niel: European Resuscitation Council 2015.

2. Peřan D, Mathauser R, Kodet J. Vyšetření pacienta postupem ABCDE. Urgentní medicína. Časopis pro neodkladnou lékařskou péči 2017; 20(1): 24–27.

3. Soar J, Nolan JP, Böttiger BW et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation 2015; 95: 100–147. doi: 10.1016/ j.resuscitation.2015.07.016.

4. Wildemuth BM. Applications of social research methods to questions in information and library science. Westport: Libraries Unlimited 2009.

5. Neumann FJ, Sousa-Uva M, Ahlsson A et al. 2018 ESC/ EACTS Guidelines on myocardial revascularization. Eur Heart J 2019; 40(2): 87–165. doi: 10.1093/ eurheartj/ ehy394.

6. Bulíková T. EKG pro záchranáře nekardiology. Praha: Grada 2015.