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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 …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.