No coin nor oath required. For personal study only.
or 3.8%. However, when just the clinically significant ECGs are considered, there was a discordance rate of 27%. The majority of these clinically significant discordant ECG interpretations were underread by the pediatric emergency physician and have the potential of being lost to cardiology follow-up. This rate of ''significant'' ECG misinterpretations represents the added value derived from our facility's quality assurance process of reinterpretation. In our institution, discrepant ECG interpretations result in medical record review and discussion with the pediatric cardiologist for clinical significance. If the ECG is clinically significant, notification of the family and the primary care physician then occurs so that proper follow-up is obtained.
We conclude that there exists an overall high degree of ECG interpretation accuracy in a pediatric ED setting. The vast majority of ECG discordant interpretations were not clinically significant. The types of classes II and III ECG interpretations that were not accurately interpreted in this study may serve as an example of ECG readings that carry more clinical importance and should be recognized by the emergency physician. These data suggest that review of pediatric ECGs by pediatric cardiologists may significantly reduce underdetection of clinically important ECG findings in children.
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right people to learn the right material repeatedly, live it and use it constantly, and have it at their fingertips because ''it is just what we do.'' And, if what we should do is not what we do now, we must examine our disaster plans and change them to reflect and rely on reality. Those truly criti