Everything you need for ACS on one page. A clear, colour-coded guide to recognising and managing Acute Coronary Syndrome – built as a study guide for student paramedics, student nurses and anyone who reads 12-lead ECGs.
Designed by UK paramedics with a combined 25 years' frontline experience, and aligned with current UK JRCALC guidance (Sept 2026).
What's on the poster
Which artery, which leads – a colour-coded 12-lead ECG matching each territory to its coronary artery (RCA, LAD, LCx)
How ACS happens – plaque, rupture and clot, step by step
Posterior leads – where to place V7–V9 and when to record them
First steps – defib first, 12-lead in 10 minutes, obs, pain and repeat ECGs
Typical and atypical presentations, including the groups most often missed
STEMI ECG criteria, including posterior, LBBB and RBBB
No STEMI? Why ACS without ST elevation is still high risk
Treatment and conveyance, including PPCI, pre-alerts and post-ROSC
Red flags – time-critical features, always act, and don't miss
Who it's for
Student paramedics and newly qualified paramedics
Student nurses and cardiac, ED and acute nurses
Ambulance clinicians, ECAs and first responders
Educators, skills labs, crew rooms and training rooms
A thoughtful paramedic, graduation or student nurse gift
Sizes
A4 (210 × 297 mm) – desk or folder copy, for close reading
A3 (297 × 420 mm) – desk or study copy
A2 (420 × 594 mm) – our recommended poster size
50 × 70 cm – fits standard UK frames
A1 (594 × 841 mm) – ideal for crew rooms and skills labs
A0 (841 × 1189 mm) – unframed only
Framed sizes are slightly larger overall: the frame adds 10–14 mm on each side and is 20–25 mm deep.
Print and frame
Heavyweight 200gsm+ premium matte paper – no glare, easy to read
Optional frame in black, white or natural oak finish (A4 to A1)
Pine wood frames with shatterproof plexiglass, delivered ready to hang with hanging kit included
FSC-certified paper and recyclable packaging
Props and room settings in lifestyle photos are for display only
Delivery
Printed to order and usually dispatched within 1–3 working days
Unframed prints are rolled in a heavy-duty cardboard tube; framed prints are boxed with corner protection
Returns
Each poster is printed to order, so we can't accept change-of-mind returns. If your poster arrives damaged or goes missing in the post, contact us with a photo and we'll send a free replacement.
Please note
This poster is an educational aid. It does not replace JRCALC, local trust guidelines, your training or clinical judgement. Always follow your local PPCI pathway. Not affiliated with or endorsed by JRCALC or AACE.