A novel training program for enhancing paramedics' electrocardiogram interpretation skills: pre-post-evaluation
Keita Iyama1, Ryohei Akashi2, Makoto Yokoyama3
1Acute and Critical Care Center, Nagasaki University Hospital, Nagasaki, Japan.
Frontiers in Medicine
|October 22, 2025
Summary
A new 12-lead electrocardiogram (ECG) training program significantly improved paramedic confidence and knowledge in diagnosing acute coronary syndrome (ACS). This enhanced skill may reduce prehospital delays and improve patient outcomes.
Area of Science:
- Cardiology
- Emergency Medical Services
- Medical Education
Background:
- Early intervention is crucial for acute coronary syndrome (ACS) patients.
- Reducing prehospital time is essential for better patient outcomes.
- 12-lead electrocardiogram (ECG) interpretation is vital for paramedics in chest pain cases.
Purpose of the Study:
- To evaluate the effectiveness of a novel 12-lead ECG training program for paramedics.
- To assess the impact of the training on paramedics' diagnostic skills, confidence, and anxiety levels.
Main Methods:
- A training program involving lectures and case scenarios was delivered to 58 paramedics.
- Participants completed pre- and post-training ECG tests and questionnaires.
Main Results:
- ECG test scores significantly improved post-training (p < 0.01).
- Paramedic anxiety decreased, while confidence and ability to predict ischemic regions increased significantly (p < 0.01).
- Accurate communication of ECG findings to hospitals also improved.
Conclusions:
- The 12-lead ECG training program effectively enhanced paramedic knowledge and confidence.
- Implementing this training may reduce prehospital duration and improve ACS patient care.
Keywords:
chest paineducationelectrocardiographyemergency medical servicesinservice trainingtraining courseMore Related Videos
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