Frequent question: Can paramedics read ST segment elevation myocardial infarction on prehospital 12 electrocardiograms?

Why is ambulance Spelt backwards?

Can paramedics read ECGS?

Either the 12 lead electrocardiogram (ECG) is transmitted to a doctor who makes a diagnosis (and may communicate this diagnosis back to the ambulance crew), or alternatively ambulance paramedics are trained to interpret the 12 lead ECG.

What are the criteria for significant ST segment elevation on a 12 lead ECG?

ST-elevation in 2 contiguous leads that is:

  • Men < 40: 2.5 mm ST-elevation in V2 or V3, 1 mm in any other lead.
  • Men > 40: 2.0 mm ST-elevation in V2 or V3, 1 mm in any other lead.
  • Women: >1.5 mm ST-elevation in V2 or V3, 1 mm in any other lead.

Is 12 lead ECG the gold standard for diagnosing myocardial infarction?

Introduction Q-waves on 12 lead ECG is considered a marker of transmural myocardial infarction (MI) and is used universally. Late gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) accurately identifies MI and has become the gold standard for the assessment of myocardial viability.

What do you do if a patient has ST-elevation?

Primary percutaneous coronary intervention (p-PCI) has become the treatment of choice for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously by an experienced team.

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Can paramedics read ST segment elevation myocardial infarction on prehospital 12 electrocardiograms?

Conclusions: Paramedics in an urban/suburban EMS system can diagnose STEMI and identify appropriate cardiac catheterization laboratory activations with a high degree of accuracy, and an acceptable false-positive rate, when tested using paper-based scenarios.

How effective are paramedics at interpreting ECGs in order to Recognise STEMI a systematic review?

Paramedics showed a sensitivity of 80%, specificity of 97%, PPV of 83% and NPV of 96%. This study concluded that paramedics can acquire out-of-hospital 12-lead ECGs and independently identify those patients with STEMI.

Is ECG the gold standard?

The ECG is the “gold standard” technique for diagnosis of cardiac ar- rhythmias, conduction disturbances, preexcitation, acute coronary syndromes, and chronic myocardial infarction with Q waves.