ECG is a simple diagnosis tool which provide a lot of diagnosis and therapeutic decisions. The last few years, the admission number in french emergency department increases in parallel with the ECG acquisition request. ECG acquisition is often made by a nurse, medical skill legally delegate to nurse since 2002. Outside hospital, since 2022, a ministerial decree has extended ECG acquisition to first-aider. The medical delegation of ECG acquisition to nursing assistant could be a way to give back nursing time and would allow to make ECG faster. ECGSU 1 study investigates if the ECG acquisition by a nursing assistant in emergency room reception, for patients admit in emergency department, is qualitatively performant in compare to qualified workers.
Materials and Method ECGSU 1 study is a non-inferiority, transversal, monocentric, prospective and open trial. The study compares the suitability ratio for ECG's interpretability criteria of ECG made by nursing assistant and made by care workers in current practices (doctors, medical students, nurses). The ECG's interpretability criteria are defined by actual recommendations. The suitability ratio for ECG's interpretability criteria will be considered as reliable if all the interpretability criteria are fulfilled for ECG examination. This examination will be conducted by a blind adjudication committee. 2450 patients will be recruited in 24 months in the emergency department of the CHU of Angers.
all major and conscient patient admit in the emergency departement of CHU of Angers
indication of ECG aquisition in the emergency room reception under prescription medical and/or in context of pre-established protocols
patient who has been affiliated or beneficiary from social security system
patient deliberate consent
people under L1121-5 to L1121_8 of french law public heath articles, namely pregnant women, laboring women, nursing women, people deprived of freedom from legal decision, minor, people under legal protection (guardianship)
people involved in another interventional study changing standard of care or could influence study evaluation criterias
pacemaker carrier
unable to free consent
Parallel
electrocardiogram by nursing assistant
Procedure/SurgeryECG are made by nursing assistant
electrocardiogram
Procedure/SurgeryECG are made by care workers in current practices (doctors, medical students, nurses)
Rate of compliance with ECG interpretability criteria when ECGs are performed by nursing assistants compared to healthcare professionals in routine practice
The suitability ratio for ECG interpretability criteria will be considered as reliable if all the interpretability criteria are fulfilled for ECG examination. This examination will be conducted by a blind adjudication committee.
Measure of time for making ECG between admission, randomisation and making it
suitability ratio for ECG interpretability criteria between groups in the context of chest pain protocol (secondary)
team acceptability of the protocol implementation using a satisfaction questionnaire
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