Quote from lpnstarstudent
Are there areas still using 3 lead for transport?? That's not good! I know in our area, all transports vehicles whether it be fire dept medic or hosp transport, all have 12 lead monitors and all (yes even medics) can diagnose MI's in the field and call cardiac alerts on their own without a physician or nurse. In our area this ability has saved countless lives. To give you an average time to treatment example; from 911 dispatch with pt ariving directly to cath lab is 30-45 minutes. INCREDIBLE! Sorry I did not answer the orignal question. I got side tracked with 3 lead monitors.
When you say 'transport' I think of transport within the hospital...i.e. to CT scan, from the ER to the floor/ICU, etc. For that transport I cannot see why 3 lead is not, generally, ok. For instance, does HR/rhythm of a pt on a dilt gtt. remain stable during transport in the hospital?
In our area, most medics will do 12 leads if their is any suspicion for MI and then fax the EKG either to medic command or to the receiving ER.
In the hospital I have seen 12 leads used for any suspected MI/any pt with new chest pain, a new arrhythmia, any pre op (even if not a cardiac case), any time the doctor wants exact measurement of the intervals (for example, after the pt starts on the A fib drug tikosyn). In the ER, 12 leads are used for most SOBs, abd pain in the elderly, high blood pressure, someone exhibiting S/S of CHF, dizziness, syncopal episodes, and, well, almost anything else (OK, usually not sprained ankles). 5 leads for telemetry, 3 lead for in-hospital transporting.