Lesson 1Spotting and fixing common artefacts: movement, muscle tremor, baseline wander, AC interference, and poor contactTeaches how to spot common artefacts like movement, tremor, baseline wander, AC interference, and poor contact, and gives step-by-step ways to sort them out before the final recording.
Spotting patient movement artefactDealing with muscle tremor and shiveringFixing causes of baseline wanderReducing AC and electrical interferenceImproving electrode contact qualityChecking tracing after fixesLesson 2Escalation steps when abnormal or dangerous tracing is found: telling the clinician, starting emergency response, and recording communicationsDescribes the steps to take when dangerous or unexpected ECG findings show up, including who to tell, how to start emergency response, and how to record communications and times correctly.
Defining abnormal and critical findingsNotifying the responsible clinicianStarting emergency response systemsStaying with unstable patientsRecording times and contacts madeHandover of ECG and clinical detailsLesson 3Patient identification and checking test request against medical record and referral detailsCovers confirming patient identity, matching the ECG request to the chart and referral, checking indications and contraindications, and sorting out any differences to make sure the right test is done on the right patient.
Using two unique patient identifiersMatching request to chart and wristbandConfirming indication and urgencySorting discrepancies before testingRecording verification stepsLesson 4Room and equipment preparation: safety checks, infection control, electrical safety, and privacy setupExplains preparing the ECG room and equipment, including infection control, electrical and cable safety checks, privacy measures, and getting supplies ready to ensure a safe, comfortable, and proper testing space.
Daily ECG machine function checkInspecting leads and power cordsCleaning couch and high-touch surfacesHand hygiene and PPE selectionPositioning screens and drapesStocking paper, electrodes, and gelLesson 5Recording special groups and technical variations: obese patients, left ventricular hypertrophy, bundle branch block, and paced rhythmsDetails changes for obese patients and those with LVH, bundle branch block, or paced rhythms, including lead placement adjustments, technical settings, and recording variations to help with accurate interpretation.
Adjusting leads in obese patientsRecording in suspected LVHECG features of bundle branch blockCapturing paced rhythms accuratelyRecording nonstandard lead positionsNoting technical limitations on reportLesson 6ECG acquisition settings: filter, gain, paper speed, leads display, and calibration checksExplains key ECG machine settings: paper speed, gain, filters, lead display, and calibration checks. Stresses when to adjust settings and how to check calibration for accurate measurements.
Standard paper speed and when to changeAdjusting gain for small or large signalsUsing muscle and baseline filters safelySelecting lead display formatsRunning a 1 mV calibration signalRecording settings on the ECG printoutLesson 7Skin preparation techniques: shaving, abrasion, cleaning, and electrode selectionCovers skin assessment and preparation, including shaving hair, gentle abrasion, cleaning with proper agents, and choosing suitable electrodes to lower impedance and cut down on artefacts.
Inspecting skin for lesions or devicesShaving excessive chest hair safelyUsing abrasion to lower impedanceCleaning with alcohol or soapSelecting appropriate electrode typeEnsuring firm electrode adhesionLesson 8Standard ECG lead positions: limb leads, precordial leads V1–V6, and anatomical landmarksReviews standard limb and precordial lead positions, key anatomical landmarks, and common placement errors. Stresses accurate, repeatable positioning to ensure diagnostic quality and comparable ECGs.
Right and left limb lead placementLocating intercostal spacesCorrect V1 and V2 positioningPlacing V3–V6 along the chest wallAvoiding breast tissue displacement errorsChecking symmetry and consistencyLesson 9Quick recognition of life-threatening patterns: STEMI, ventricular tachycardia, complete heart block, and asystole and immediate actionsFocuses on quick spotting of STEMI, ventricular tachycardia, complete heart block, and asystole on a resting ECG, and outlines immediate actions, escalation paths, and basic safety steps for the technician.
ECG criteria for STEMI detectionIdentifying ventricular tachycardiaRecognising complete heart blockConfirming true asystole vs artefactImmediate actions and escalationRecording critical ECG eventsLesson 10Post-test documentation: report components, sending ECG to physician, storage, labelling, time stamps, and quality assurance logsOutlines required post-test documentation, including labelling, time stamps, report components, storage, secure sending to the physician, and quality assurance logs to support tracking and audits.
Essential identifiers on each tracingRecording date, time, and operatorSummarising technical quality notesSending ECG to physician systemsArchiving and backup proceduresCompleting QA and incident logs
