A nice bread and butter inferior infarct where EMS appropriately withheld nitro.  Note the reciprocal depression in avL.  A (poor) right-sided EKG was done (mostly because we were all just standing around waiting for the cath lab team to arrive and had time), but the ST elevations in V5R-6R reinforces why we should use caution with nitrates in the setting of an inferior MI.  The pt went to the cath lab within 20 minutes of arrival to the ED, door-to-balloon time was something like <40 minutes.









 

We were discussing this in ACLS yesterday.  Sadly, most of the nurses that come through my classes can barely read a 3 lead ECG let alone a 12.

For regular ECGs I like ECGs Made Easy.

 
Just my opinion, but I think there's absolutely zero need for 12-lead interpretation to be a part of basic nursing curriculum, or as part of the daily job for most garden variety nurses.  Rhythm interpretation, yes, but not 12-lead.  It's a frangible skill that only serves those taking care of specialty or high-acuity patients in roles or care areas where you actually see a lot of ECGs.  As an ED nurse, I perform or have handed to me more 12-leads in an average shift than a lot of paramedics do.  I wouldn't fault your wife over that (unless she really should know better).