Very interesting post! I have looked at the other sites involved - should be a good discussion! We are moving to not doing ECGs on scene but getting them on route if no Paramedic is available for thrombolysis as there is not a lot we can do about it as Techs if they are having an MI. I do agree though, hospitals often want to know if there is elevation and where when the courtesy call is put through and always ask for an ECG when you get there. I've nearly fallen over several times after doing a 12 - lead just to confirm that the pt is not having a heart attack only to find a raging barn door - tombstone style - MI going on...... Always get nervous without an ECG me!