Frank, I dont work in a rural area. We tx and transport hot MIs all year long so I'm afforded the opportunity to view real time 12 leads and even 15 leads when indicated. So, the senario presented with with a 12 lead indicating anterior lead elevation and I will even throw in reciprocal changes in leads 2,3,aVF with the pt being diphoretic and vomiting. All vitals are stable. The question was would one give NTG in the absence of CP knowing your pt is a diabetic woman?