You make a good point but the doctor does not preform the 12 lead in the emergency department so he or she is taking the word of the worker preforming the 12 lead. To allow a certain level of trust is important. I work closely with my EMT's and watch them in their practice so I know I can trust their results or findings.
ArcticKat said:Our nearest Cath Lab is 2 hours away. Our local hospital takes our 12 Lead at face value and we back it up with prehospital cardiac marker tests. Usually they will also get their own 12 lead if time permits, but more often than not they go with ours.
Just a question. How many providers here conduct patient treatments based on someone else's assessment? If you're a medic, do you give a spray of nitro to the patient complaining of chest pain based on the blood pressure the BLS or First Responder took 5 minutes ago, or do you check yourself.
Who would be responsible should that patient crash because his pressure was in his boots?
Should the Doctor be less accountable than we are?
In my work place, Not all the ambulances are equiped with EKG machine, as such, paramedic on duty have to make diagnosis of acute coronary syndrome such as IHD, STEMI and NSTEMI based mainly on clinical sign and symptom. i believe having ECG recorded during chest pain will be valuable information for doctor who treat the patient. The patient may have his angina pectoris subsided and ECG normalized when reaching ED. thus the prehospital 12 leads ECG will be useful record of the cardiac event..and may help doctor in deciding weather to conduct exercise stress test for this patient..