In this episode, we discuss the modified Sgarbossa criteria used to identify STEMI equivalents in patients who have an existing or not known to be old left bundle branch block (LBBB). identifying a STEMI in the setting of a LBBB can be challenging because there are ST segment deviations that can be normal in LBBB. We discuss the modified Sgarbossa criteria that can help the paramedic identify this important STEMI equivalent.

paramedicine, paramedic, EMS, STEMI equivalent, Sgarbossa, LBBB

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