To perform we have to be faster and smarter – thus the 20 second ECG. See more, miss less. See more patients with less staff etc. We need to make sure we don’t miss the big stuff.
Literally, we can all look at an ECG and in 20 seconds decide if it’s bad or not. I’m not talking about your anterior fascicular block, who cares, last time I checked, it didn’t kill anybody. I want the chunky stuff. I want to rule out ischaemia and arrhythmia. If I find those things, then I can pull out the set square, mathematical calculator, put my nerd brain into gear and spend a few minutes.