EMS ECGs: respect lead aVL and looks for subtle early signs of cardiac ischemia

Baltimore City EMS Cases with Dr. Amal Mattu


A 30-year-old woman is brought in by EMS to the ED with chest pain. The following prehospital ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is the clinical significance of ST-segment depression < 1 mm?
  3. How would you manage this case?