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R G Jarmon

Publications and source records attributed to R G Jarmon.

3 recordsLinked to original sources

Cardiac telemetry exercise program.

To train cardiac consultants who interpret electrocardiogram rhythm strips from the field, we designed a series of prerecorded telemetered rhythms and discussions which can be sent into telemetry consoles. The patterns represent cardiac arrhythmias (eg, ventricular tachycardia, complete heart block, etc), as well as equipment problems (loose leads, misplaced leads, etc). We selected and modified some of the patterns of "Arrhythmia Resusci Anne" (Laerdal Medical Corporation), sent these through ambulance radios (to create a tone), recorded the signal on a standard tape recorder and dubbed in the monologue. The physician is asked to interpret the pattern and give instructions to the ambulance attendant. The answers and response times are recorded by the technician running the taped exercise. At the end of the quiz, the rhythms are replayed along with a discussion of each pattern.

Ambulances

Provider performance in the recognition and treatment of telemetered electrocardiogram patterns.

A test of electrocardiogram diagnostic skills in the form of a ten-slide presentation of six-second rhythm strips was administered to 25 emergency department nurses, 23 intensive care unit (ICU) nurses, 34 cardiac technicians (CRT, EMT) and 37 physicians. The ICU nurses had the best performance overall. Physicians had difficulty with mechanical problems, viz, loose leads, flat line and inverted leads. ICU nurses had less difficulty identifying and treating flat line than did emergency department nurses. The study's limitations were that the sample was self-selected and that the providers might respond differently to a real life situation.

Allied Health Personnel