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Case Study: ECG Interpretation

Attribution

Adapted for UK Nursing Education by: Lincoln Gombedza, RN (LD)
NMC Proficiency: Annexe B (Procedures) - "ECG recording and interpretation"
Last Updated: December 2025

The Challenge

Students often struggle to link the squiggly lines on an ECG to the mechanical action of the heart.

The Prompt (For Education)

Copy and paste this into Gemini 3 / GPT-5:

"Explain the P-QRS-T complex of a normal sinus rhythm to a first-year student.

The Visual Metaphor: Use the analogy of a 'Message Runner' visiting different parts of a castle (The Heart).

  • SA Node: The King giving the order.
  • AV Node: The Gatekeeper pausing the message.
  • Bundle of His: The Fast Highway.

The Diagram: Create a Mermaid sequence diagram showing the electrical flow vs. time."

Visual Aid: The "Heart Castle" Analogy

ECG Castle Metaphor Using metaphor (Kings, Gates, Highways) helps students visualize the invisible electrical pathway.

Learning Outcome

By linking the abstract concept (electricity) to a concrete story (the castle), retrieval practice becomes easier.

Safety Check

A student might ask: "I have an ECG here that looks like [description], what is it?" Teach them why this is dangerous. The AI cannot see the 'whole clinical picture' and will often hallucinate a diagnosis based on text descriptions.