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首页> 外文期刊>Canadian Journal of Emergency Medicine >What adult electrocardiogram (ECG) diagnoses and/or findings do residents in emergency medicine need to know?
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What adult electrocardiogram (ECG) diagnoses and/or findings do residents in emergency medicine need to know?

机译：急诊医学居民需要了解哪些成人心电图（ECG）诊断和/或发现？

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ObjectiveThere is no evidence-based description of electrocardiogram (ECG) interpretation competencies for emergency medicine (EM) trainees. The first step in defining these competencies is to develop a prioritized list of adult ECG findings relevant to EM contexts. The purpose of this study was to categorize the importance of various adult ECG diagnoses and/or findings for the EM trainee.MethodsWe developed a list of potentially important adult ECG diagnoses/findings and conducted a Delphi opinion-soliciting process. Participants used a 4-point Likert scale to rate the importance of each diagnosis for EM trainees. Consensus was defined as a minimum of 75% agreement at the second round or later. In the absence of consensus, stability was defined as a shift of 20% or less after successive rounds.ResultsA purposive sampling of 22 emergency physicians participated in the Delphi process, and 16 (72%) completed the process. Of those, 15 were from 11 different EM training programs across Canada and one was an expert in EM electrocardiography. Overall, 78 diagnoses reached consensus, 42 achieved stability and one diagnosis achieved neither consensus nor stability. Out of 121 potentially important adult ECG diagnoses, 53 (44%) were considered “must know” diagnoses, 61 (50%) “should know” diagnoses, and 7 (6%) “nice to know” diagnoses.ConclusionWe have categorized adult ECG diagnoses within an EM training context, knowledge of which may allow clinical EM teachers to establish educational priorities. This categorization will also facilitate the development of an educational framework to establish EM trainee competency in ECG interpretation.
机译：目的目前尚无针对急诊医学（EM）学员的心电图（ECG）解释能力的基于证据的描述。定义这些能力的第一步是制定与新兴市场环境相关的成人心电图结果的优先列表。这项研究的目的是对EM受训者进行各种成人ECG诊断和/或发现的重要性进行分类。参与者使用4点李克特量表对EM学员的每次诊断重要性进行评分。共识被定义为在第二轮或更晚的协议中达成至少75％的协议。在没有共识的情况下，稳定性被定义为连续几轮后的变动不超过20％。结果22名急诊医师的有目的抽样参加了Delphi程序，其中16名（72％）完成了该程序。其中，有15个来自加拿大11个不同的EM培训计划，其中1个是EM心电图专家。总体而言，有78位诊断达到了共识，有42位达到了稳定性，而一项诊断既没有达成共识，也没有达到稳定性。在121例潜在的重要成人ECG诊断中，有53例（44％）被认为是“必须知道”诊断，61例（50％）是“应该知道”诊断，而7例（6％）被认为是“很好”诊断。 ECG在EM培训环境中进行诊断，其知识可以使临床EM教师确定教育重点。这种分类还将促进教育框架的发展，以建立EM学员在心电图解释方面的能力。

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