Preface
12-Lead Electrocardiography
Indications
The American Heart Association (AHA) and the National Heart Attack Alert
Program (NHAAP) recommend prehospital 12-Lead ECG with computer
analysis and transmission to the emergency department for patients with
chest pain and possible Acute Myocardial Infarction (AMI).
The prehospital 12-Lead ECG offers paramedics and emergency physicians
significant advantages over the single lead ECG typically available in EMS.
The prehospital 12-Lead ECG not only provides a diagnostic quality ECG for
use in the detection of AMI, but also allows the knowledgeable paramedic to
determine the area of myocardial injury, anticipate associated potential
complications, and implement treatment strategies accordingly. In addition,
the prehospital 12-Lead ECG provides a baseline for serial ECG evaluations.
Contraindications
None known.
SpO
Monitoring
2
Indications
Pulse oximetry through plethmography (SpO
) is a measure of oxygen
2
saturation in arterial blood. It is indicated for use when determining a
patient's level of hypoxemia.
Contraindications
None known.
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