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Accuracy of final-year paramedic students’ ECG interpretation and referrals for transient loss of consciousness, per the NICE CG109 guidelines

Year: 2026

Type: article

Abstract: This study highlights a gap between final-year paramedic students' ECG interpretation skills and the National Institute for Health and Care Excellence Clinical Guideline 109 (NICE CG109) recommendations. While many abnormal ECGs were referred despite misidentification, some high-risk patterns were missed entirely, leading to a failure to refer. These findings underscore the need for enhanced ECG training aligned with NICE CG109 to ensure newly qualified paramedics are able to correctly identify and act on significant abnormalities.

Source: AJP Advances in Physiology Education

DOI: 10.1152/advan.00081.2025

Authors: Samuel R. Smith, Harry J. Witchel

Institutions: Brighton and Sussex Medical School, University of Sussex

Language: English

Topic: Clinical Reasoning and Diagnostic Skills

Subfield: Family Practice

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Quality education

Open Access status: diamond

OpenAlex ID: W7129029500

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