The most awesome STEMI test on the internet!

Senior Editor Christopher Watford created an online STEMI test based on McCabe JM, et al. Physician Accuracy in Interpreting Potential ST-Segment Elevation Myocardial Infarction Electrocardiograms. J Am Heart Assoc. 2013; 2:e000268.

It was in beta testing for a while (see this thread at EMTLife.com) but apparently it is now ready for prime time!

I say that because the test was featured at the AmboFOAM blog by Robert Simpson (@AmboFOAM) and was so well received by the #FOAMed community on Twitter that it almost broke the internet.

The test also received The Most Fair Dinkum Ripper Beaut of the Week recognition at Life in the Fast Lane!

The online test will tell you which ones you got right and which ones you got wrong. It will also compare your sensitivity and specificity against other health care disciplines.

In hindsight it’s one of life’s mysteries why ems12lead.com didn’t break the story first since we do talk about STEMI from time to time!

Click HERE to take the STEMI test.

Screen Shot 2014-06-23 at 6.39.39 AM

 

6 Comments

  • Pure luck Tom, I just happened to be hanging around emtlife when Christopher posted.

    It really has touched a chord in the FOAM world, and I suspect has given a few people (like me!) a “Holy crap!” moment. The immediate feedback and breakdown of the ECGs after taking the test make it a fantastic educational tool.

    You guys should all be proud of the great content you keep putting out, as I suspect many of us learn more from these sites than we ever learned in school, but Christopher really has outdone himself with this!

  • Gary says:

    WOW!! Thank you for such an amazing product. I would love to use this in class this year. I’m not sure I agree with 12-lead #21, but maybe i am missing something??. Keep up the good work! I love the break down and explanation and comparison to others.

    • Christopher Watford says:

      Gary,

      Feel free to use it in class! As for #21, I’ll shoot you an email so as to not give away any spoilers!

      Thank you!

  • Алексей Рукин says:

    I’ve tried it and got 75% sensitivity and 75% specificity. I’m not a medical student at all, I’m a physics PhD.

  • Jim Hoffman says:

    Great app. Really like the feedback at the end. I added this to my Jim Recommends area.

  • Lance Lynch says:

    This is a great app, Chris – Thanks so much for putting this together! Fantastic review of common misses.

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Stuart
Anterior T wave inversions and PE.
Studies (can't remember them off the top of my head) have shown that TWI in V1-4 + III is 85% likely to be RV strain, 15% ischemia. If I see anterior TWI, the very next lead I look to is III
2014-11-23 18:00:51
Arlene R
The Trouble with Sinus Tachycardia
It has been very insightful for me as i read this post. Thanks to the may people who commented. Like many nurses, I was also taught to differentiate svt from st by rate and now I stand corrected. I have a Telemetry test coming up soon, I wont have the patient in front of me…
2014-11-20 19:59:33
Nick
100 yof CC: Rib pain and intermittent spasms
Can't be a potassium imbalance. The TW's wouldn't change and then change back. If it was coronary spasm, I would expect some ST segment elevation. The TW'S are also not hyperacute (peaked). Does she wear some sort of electronic stimulator?
2014-11-19 01:05:43
Anterior T wave inversions and PE. | EMS 12 Lead
Not just S1Q3T3: Look at the other 10 leads!
[…] Last week, I described the case of a middle-aged male with a vague history of heart failure who had been having progressive shortness of breath for 4-5 days. On the day he called 911, he had been walking a short distance when he syncoped. EMS obtained an ECG: […]
2014-11-18 18:33:47
Christine
100 yof CC: Rib pain and intermittent spasms
I believe this may be coronary artery vasospasm.
2014-11-18 11:02:45

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