A novel training program for enhancing paramedics' electrocardiogram interpretation skills: pre-post-evaluation.
Frontiers in medicine · 2025-01-01 · Quasi-experimental
Abstract
INTRODUCTION: Early intervention is critical for improving outcomes in patients with acute coronary syndrome (ACS); thus, reducing prehospital duration is essential. Accordingly, 12-lead electrocardiogram (ECG) training is vital for paramedics treating patients with chest pain. However, few studies have reported on such training programs. This study aimed to evaluate the effectiveness of a newly developed 12-lead ECG training program. METHODS: The novel 12-lead ECG training course consisted of six 30-min classroom lectures and practical exercises using eight case scenarios of patients with chest pain. It was conducted for 58 paramedics in Nagasaki Prefecture. Participants completed a 20-question ECG test and a 10-point scale questionnaire before and after the training to assess the course's impact. RESULTS: The median number of correct answers on the ECG test significantly improved from 12.5 to 15 after the training (p < 0.01). Questionnaire results revealed that anxiety regarding 12-lead ECGs significantly declined from 8.5 to 6 points (p < 0.01), whereas confidence significantly increased from 3 to 6 points (p < 0.01). The ability to predict ischemic regions using 12-lead ECG increased from 5 to 7 points (p < 0.01), and accurate communication of ECG findings to receiving hospitals significantly improved from 5 to 6 points (p < 0.01). All participants reported that this training program would benefit their future fieldwork. CONCLUSION: Paramedics gained confidence and knowledge through the newly developed 12-lead ECG training program. Continued implementation of this course may help reduce prehospital duration and improve outcomes in patients with ACS in the study region.