I do not think that an A&E SHO is a suitable person to identify as your gold standard at interpreting an ECG. I have seen
a lot of errors by SHOs. I am working on a scheme that sends the ECG to our hospital intranet and pages the medical
registrar, who can then instruct the crew on what they should do. The beauty of this system is that it uses the most
senior skills immediately available 24 hours a day as the registrar can just go to the nearest computer (one on every ward)
to look at the ECG. Eventually I guess we will have to put a computer in the on-call room too.
Best wishes,
Rowley Cottingham
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