Pavehawk
Forum Lieutenant
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I missed the flipped T-waves on the 12-lead of a patient that ended up having an inferior STEMI. I brought them in code 1, then only gave ASA, and one NTG w/relief. Granted, it took the hospital two 12-leads to see any elevation, however, I obviously failed my patient.
Don't beat yourself up over this. There is a reason that they do serial 12 leads in the ED. Sometimes you are not going to see changes on the first one and can only get to the actual dx after comparing them.
You started correct interventions for the given situation (though a lock might have been nice, perhaps) and the patient did get relief. As long as you are concerned about your actions (or inactions) and learn from it you are not failing anyone.