12 leads and yeah, EKG tech course.What do you mean by fluent in cardiac monitoring?
Are you talking about an ACLS class or ekg tech course?
There is also a statewide push to educate all EMTs to interpret STEMIs on a 12-Lead. I haven't seen nor heard much in VA about EMTs going to Cardiac Monitoring here.
EpiEMS -Totally agree that running a 12-lead is an EMT-appropriate skill. Curious what you mean by interpret STEMIs -- do you mean, say, call a STEMI alert if the computer interprets the 12-lead as a STEMI?
EMTs are being taught to see the STEMI on their own, not just what the monitor/computer says. For now most places in VA ask EMTs to do the 12-Lead and trust the monitor interpretation. It's still an ongoing educational project.
Either EMTs or Medics can call a STEMI Alert.