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

 

7 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.

  • Tim says:

    Thanks for the app. It made me think about all that one may see in the field. The only problem was I never got a score or saw the results of how I did other than saying I had completed the test. Anyway a great way to get the old brain working.

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Glenda
Snapshot Case: What Happened?
torsades des pointes! Electrolytes??
2015-05-28 16:56:49
Olivier
Snapshot Case: What Happened?
To support Donovan's analysis, QRS are remarkably thin and eventually consistent with paediatric findings. However, as noted, atrial fibrillation in very young patients are quite rare.
2015-05-28 07:36:54
Donovan
Snapshot Case: What Happened?
Looking back on the dosages, though, it occurs to me: this may be a pediatric patient. If that is the case, then for 50 J to be an appropriate dose for Shock 4 (again, assuming the patient is unstable), they would have to weight 25 kg. If that is the case, then the accidental induction…
2015-05-28 01:46:30
Donovan
Snapshot Case: What Happened?
1) Why convert the first rhythm? (brought up by a couple of commenters) -- As is posted in the initial: "required emergent cardioversion for unstable rapid atrial fibrillation" ... rate is not the determining factor about stability, the presence or absence of signs of shock are (hypotension, acutely altered mental status, ischemic chest pain, usw).…
2015-05-28 01:27:57
Ruud Valkenborg
Snapshot Case: What Happened?
Beautyfull R on T with a unsynchronised ECV. :-)
2015-05-27 07:38:19

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