Yeah, I really need to invent the *irony* tag to make it obvious when I'm trying to be a bit funny... (So, no, I'm not an 'expert' but I do think I'm *certainly* more expert than the many GPs who sit their ACS/MI patients out in the waiting room to await the ambulance. Which, round my way, is shamefully commonplace - and when I challenge the GPs on this they have no reply). However, an interesting point - when the service brought in the pilot of ambulance staff reading ECGs they tested road crew recognition of STEMIs against A&E SHOs. The ambulance staff scored higher. On two separate occasions. We audit the people that we do ECGs on and we have 100% recognition, so in the recognition of STEMIs we are quite good.