Christopher
Forum Deputy Chief
- 1,344
- 74
- 48
I think you did fine playing it safe, no one will ever come after you for playing it safe. If it was me personally, I would of transmitted the ekg and discussed it with the physician as to if he wanted to activate or not.
We've got a pretty liberal activation policy in my area, but excessive false positives will get you in trouble and probably should. Our area does not consider LBBB w/o primary changes or LVH to be reasonable activations. Systems with paramedic activation need to make sure they're not just activating to cover their butt. (nb: this comment is not directed at this ECG in particular)
Borderline cases are best called in as, "we've got X and Y, which any other day of the week we'd call a STEMI, but because of Z we don't meet criteria. We think this guy needs to an ACS workup ASAP upon arrival, we'll advise if his ECG trends to meeting criteria."