Advanced search
Publication Cover
Prehospital Emergency Care Volume 15, 2011 - Issue 3
Submit an article Journal homepage
785
Views
5
CrossRef citations to date
0
Altmetric
Case Conferences

Prehospital Diagnosis of ST-segment Elevation Myocardial Infarction Using an “All-Posterior” 12-Lead Electrocardiogram

Christopher S. Russi From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.Correspondence[email protected]
, DO,
Lucas A. Myers From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, NREMT-P,
Logan J. Kolb From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, BS,
Kevin Steever From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, NREMT-P,
David M. Nestler From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD, MS,
Mary Christine Bjerke From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, RN, BSN,
Roger D. White From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD &
Henry H. Ting From the Department of Emergency Medicine (CSR, DMN, LJK), Gold Cross (LAM, KS), Division of Cardiovascular Diseases (MCB, RDW, HHT), and Division of Cardiovascular and Thoracic Anesthesia (RDW), Mayo Clinic, Rochester, Minnesota. Revision received December 29, 2010; accepted for publication January 20, 2011.
, MD, MBA show all
Pages 410-413 | Published online: 04 Apr 2011
 
Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days

Abstract

A prehospital 12-lead electrocardiogram (ECG) is commonly used for patients with suspected ST-segment elevation myocardial infarction (STEMI). This case report describes how paramedics diagnosed inferior STEMI with all ECG leads positioned on a patient's back (i.e., “all-posterior” positioning). The patient was hemodynamically stable but morbidly obese and markedly diaphoretic. Owing to severe back pain, he refused to lie in the supine position for assessment or transport. At the emergency department, a 12-lead ECG with the patient in lateral recumbency confirmed the diagnosis of inferior STEMI. This case shows that an all-posterior 12-lead ECG can be used to identify STEMI when optimal patient positioning is not possible.

Log in via your institution

Access through your institution

Log in to Taylor & Francis Online

Restore content access

Restore content access for purchases made as guest
Purchase options * Save for later

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 85.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.