Excellent STEMI caught in the field.
Story goes the patient had an onset of severe chest pain 15 minutes prior to EMS being activated, tried his nitro but no change. Called EMS and was showing an inferior MI on 12 lead. Since an inferior MI can be affecting the right ventricle a reverse 12 lead was performed and V4 was examined. No elevation noted. Patient treated and transported, both 12 leads transmitted and STEMI alert issued to receiving ER. Patient treated during transport for the MI. Total time from onset of chest pain to patient being in the cath lab: under 40 minutes.
I think, from what I was told, the receiving doctor activated everyone as soon as he saw the 12 lead he received. I’m not trying to say doctors don’t trust the medics when a STEMI alert is issued without the ability to transmit, but it does sound as if the doctor lit a fire under everyone involved to get this patient in and out of his ER as fast as possible.