Emergency medicine 1
Track 11
| Thursday, October 26, 2023 |
| 2:05 PM - 3:40 PM |
| Meeting Room C4.3 |
Speaker
Dr Elena Klusova Noguiná
Chair Wonca Special Interest Group On Emergency Medicine
WONCA Special Interest Group on Emergency Medicine
Tips and tricks to stop fearing ECGs: identifying normal and regular electrocardiogram rhythms in General Practice.
2:05 PM - 3:40 PMSummary
Background
One of the most stressful situations for family doctors who manage emergencies is dealing with acute cardiac pathologies. Patients can be in critical condition and physicians are pushed to their limit, challenging their knowledge, reaction times and clinical judgment.
The reality is a wide variety of pathologies to be aware of and, often professional uncertainty and varying ability in manage them.
This is especially crucial in health systems with small clinics and rural practices, with a lack of collegial support and a growing population of elderly, fragile and multimorbid patients.
The electrocardiogram has proven to be one of the most cost-efficient and sensitive resources for diagnosing many fearsome pathologies, especially when the symptoms are ambiguous. Reading and interpreting ECG is an essential skill, capable of saving lives by diagnosing and differentiating acute and chronic conditions at all stages of their evolution.
Methods:
A meticulous analysis of clinical cases will be woven into a lively engaging gaming workshop format, showcasing ECG traces of the heart rhythms most frequently encountered in daily practice.
Timetable:
3"+2” Icebreaker/Presentation
20" "So, ECG is hard, where do we start?" A review of the basic methodology for reading a normal ECG, broken down into simple logical steps for ease of interpretation will be made. Key concepts of electrical disturbances will be highlighted enabling quick and accurate diagnosis of pathologies that are often perceived as complex.
60" Game time: A quiz will be organized in teams of small groups with short thinking time and voting by the spokesperson. Each answer will be explained first by the winning group and corrected or completed by one of the expert members of the emergency medicine special interest group.
5" Key messages and prizes to winners.
Results/outcomes:
Develop a working model of the Emergency-Skills-Module (ESM) for the training of general practitioners.
One of the most stressful situations for family doctors who manage emergencies is dealing with acute cardiac pathologies. Patients can be in critical condition and physicians are pushed to their limit, challenging their knowledge, reaction times and clinical judgment.
The reality is a wide variety of pathologies to be aware of and, often professional uncertainty and varying ability in manage them.
This is especially crucial in health systems with small clinics and rural practices, with a lack of collegial support and a growing population of elderly, fragile and multimorbid patients.
The electrocardiogram has proven to be one of the most cost-efficient and sensitive resources for diagnosing many fearsome pathologies, especially when the symptoms are ambiguous. Reading and interpreting ECG is an essential skill, capable of saving lives by diagnosing and differentiating acute and chronic conditions at all stages of their evolution.
Methods:
A meticulous analysis of clinical cases will be woven into a lively engaging gaming workshop format, showcasing ECG traces of the heart rhythms most frequently encountered in daily practice.
Timetable:
3"+2” Icebreaker/Presentation
20" "So, ECG is hard, where do we start?" A review of the basic methodology for reading a normal ECG, broken down into simple logical steps for ease of interpretation will be made. Key concepts of electrical disturbances will be highlighted enabling quick and accurate diagnosis of pathologies that are often perceived as complex.
60" Game time: A quiz will be organized in teams of small groups with short thinking time and voting by the spokesperson. Each answer will be explained first by the winning group and corrected or completed by one of the expert members of the emergency medicine special interest group.
5" Key messages and prizes to winners.
Results/outcomes:
Develop a working model of the Emergency-Skills-Module (ESM) for the training of general practitioners.
Takeaways
To provide general practitioners with the necessary skills to feel prepared and confident facing the most common cardiac emergencies in their daily practice.
The workshop will end with 3 key messages to enable attendees to feel confident to make the right decisions in times of greatest uncertainty.
- Remember the 8 steps of systematic ECG reading: Step 1: Rate; Step 2: Rhythm; Step 3: Axis; Step 4: Intervals; Step 5: P wave; Step 6: QRS complex; Step 7: ST segment-T wave; Step 8: Overall
- Refer: The basic patterns of time-dependent electrical disturbances must be referred to the emergency room without delay and with the initial standardized treatment according to the protocols, which we will provide.
- Be humble as professionals, recognize your limitations and do not hesitate to ask for advice and help.
The workshop will end with 3 key messages to enable attendees to feel confident to make the right decisions in times of greatest uncertainty.
- Remember the 8 steps of systematic ECG reading: Step 1: Rate; Step 2: Rhythm; Step 3: Axis; Step 4: Intervals; Step 5: P wave; Step 6: QRS complex; Step 7: ST segment-T wave; Step 8: Overall
- Refer: The basic patterns of time-dependent electrical disturbances must be referred to the emergency room without delay and with the initial standardized treatment according to the protocols, which we will provide.
- Be humble as professionals, recognize your limitations and do not hesitate to ask for advice and help.
Biography
