David Geffen School Of Medicine @ UCLA
Prehospital Care Research Forum
UCLA Center
for Prehospital Care

How well can a computer identify an ST - elevation myocardial infarction in the prehospital setting? by Josh, Keith, Marshall, Bjorn

 

This retrospective cross sectional study shows the cardiac monitor might not always correctly interpret a 12 lead ECG as an ST - elevation myocardial infarction (STEMI).  How well can a Paramedic identify an STEMI in the prehospital setting?  A well gathered patient history might tell you more about a patient than a computer’s interpretation of a 12 lead ECG. Also, the group has an informative discussion about the difference between specificity and sensitivity.

Article: Mary, Bhalla, MD. "Prehospital Electrocardiographic Computer Identification of ST-segment Elevation Myocardial Infarction." Prehospital Emergency Care. 17.2 2012

http://www.ncbi.nlm.nih.gov/pubmed/23066910

Speakers: Keith Wesley, MD, FACEP, Joshua G. Salzman, MA, EMT-B, Marshall J. Washick, BAS, NREMT-P, Bjorn Peterson, MD.