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
Jake
47 year old male CC: Crushing chest pain
I know this is old, but it just popped up on facebook so I'll go ahead and put in my $0.02 worth. With that hx and that 12-lead, there's no question this is an acute STEMI. I'm comfortable calling that third strip Torsades (assuming I've verified it's not an equipment issue). The defib pads are…
2015-03-24 14:14:19
Ngan Thanh
17 year old male CC: Syncope
I thinks about WPWs on ECG!
2015-03-21 23:27:41
bob
Adenosine for sinus tachycardia: Try to avoid this!
I have a better answer for Shay's patient (and Mel) and it's called lone a-flutter because I just had it diagnosed in me. I'm looking at my ekg showing a rate of 230 which fooled the doc who thought it was svt's until I told him I had no history of anything and talked him…
2015-03-21 21:57:17
darren
17 year old male CC: Syncope
Voltage criteria for LVH. ? Hypertrophic Cardiomyopathy?
2015-03-21 21:12:57
Kyle H
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Great article. I love the use of US. This is another (in a growing list) of reasons why we should have prehospital US.
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