Paramedic identification of ECG J Point and ST Segments: A pilot study

Brett Williams, Malcolm Boyle, Bill Lord



To identify if undergraduate paramedic students are accurate at identifying J Point and ST segments on electrocardiograms.


A prospective single-blinded observational pilot study asking students to identify ST segment and J point location on four different ECG complexes


Of 32 students that participated in the study the findings demonstrated variations in students’ accuracy with both J Point and ST segment identification. Undergraduate paramedic students in most cases were able to recognise ST segment elevation; however, definition of the amount of ST segment elevation varied greatly. A quarter of students did not complete all 4 J Point estimations. Overall the student’s estimations varied considerably.


Results from this pilot study have identified significant variation in students’ interpretation of J Point and ST Segment in ECG analysis.

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Australasian College of Paramedicine © 2020                           ISSN: 2202-7270


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