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

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Comments
know it all parapup
83 Year Old Male: Shortness of Breath
@ Kyle I would question your authority to call out people for not having a license or being a know it all parapup when your tx basically entails "call medical control." I think we can both agree that his cardiac output is not great at all. I assume your reluctance to give him any other…
2014-10-30 20:26:11
Kyle
83 Year Old Male: Shortness of Breath
Well st elevation in avr and v1 associated with anterior and lateral depression would call for possible posterior wall MI. 15 lead would be in order. Also check all the leads for appropriate placing. If v7, v8, and v9 show the elevation i would treat as a STEMI per my protocol. Asprin only until medical…
2014-10-30 18:14:05
Tim
The most awesome STEMI test on the internet!
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.
2014-10-30 13:14:27
Brian
83 Year Old Male: Shortness of Breath
I mostly agree with dustin. I believe this is may be an isolated posterior MI. The R wave in V2 points to it being a posterior MI. otherwise it is a 1st degree av block with a LAHB. I am somewhat concerned with the concordant t segment depression noted and in fact if you were…
2014-10-30 04:22:44
Karl Brennan
Understanding Amiodarone
Great article , however in VF caused by hyperkalemia it should be avoided along with lidocaine , Since it shuts down the K channels, the eiteiology of the arrest hyper K, K channels are needed to exchange K in the cell. Calcium , Bicarbonate, dextrose and insulin should be used to decrease K levels along…
2014-10-30 03:04:45

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