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Prehospital assessment and management of chest pain needs improving
  1. Abhishek Chauhan,
  2. Jamal Nasir Khan,
  3. Jawad M Khan,
  4. Chetan Varma
  1. Sandwell & West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, B18 7QH, England, UK
  1. Correspondence to Dr Jamal Nasir Khan, Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester, Groby Road, Leicester, LE3 9QP, UK; jamal.khan{at}

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We read with interest the article by Figgis et al highlighting the need for improvement in the prehospital management of chest pain. It is concerning that only 20% of patients had a 12-lead ECG and that 64% of paramedics surveyed felt that they had received insufficient training on ECG interpretation.1 Of particular concern is the inability of paramedics to identify ST elevation myocardial infarction (STEMI) implying, therefore, that a significant proportion of …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.