The intent of this pilot program is to maximize benefit from 12-lead capability existing in the TJEMS region, and to improve efficiency and level of suspected acute coronary syndrome care. Since ALS providers are not always available or first on scene, it is helpful for all levels of provider to be able to perform 12-lead ECG. Obtaining a 12-lead ECG has been approved as an optional skill at all training levels by the state Medical Direction Committee.
12-lead ECG may be indicated for chest pain or anginal equivalents. A partial list of complaints, which should prompt one to consider ACS, could include:
- Dyspnea
- CHF
- Cardiac arrhythmias
- Syncope/near syncope
- Profound weakness
- Epigastric discomfort
- Hyperglycemia in diabetic patients
- Sweating incongruent with environment