# Sacramento County's EMS agency accepts a 12-lead ECG's computer interpretation of acute MI as consistent with a heart attack, and requires the ECG to be transmitted to the receiving hospital

Page: https://flyvolo.ai/en/changes/ev-20241101-paramedic-11
Date: 2024-11-01 · Stage: Deployment
Can this record move a task judgement? yes
Occupation: https://flyvolo.ai/en/careers/paramedic

## Scope

Sacramento County, California, binding protocol for advanced life support crews. It says 12-lead ECG computer interpretations reading "Acute MI", "Acute MI Suspected", "ST Elevation Criteria Met" or "STEMI" are accepted as consistent with acute myocardial infarction; that all 12-lead ECGs consistent with an acute STEMI shall be transmitted to the STEMI receiving facility, with the reason documented if not; and that ECGs may be transmitted to a base hospital for a consult on interpretation. The paramedic still decides when to record an ECG and repeats it when the patient changes. Effective 1 November 2024; the document lists 1 June 2026 as its next review date.

## Source

- County of Sacramento Emergency Medical Services Agency — Program Document 8827.13, 12-Lead ECG (effective 11/01/24; last approved 06/13/24) — https://dhs.saccounty.gov/content/dam/dhs/public-health/emergency-medical-services/doc/policies/8800/8827.13-%2012-Lead%20ECG.pdf (primary source)

## What this means

In at least one US county, the device's own reading is enough to treat an ECG as a heart attack for routing; the paramedic records, transmits and keeps treating.

## What it does not show yet

One county's protocol; it says nothing about how often the computer reading is wrong, and the document was due for review in June 2026, so a later version may differ.

## How to verify it yourself

Open Sacramento County EMS Program Document 8827.13 (12-Lead ECG) and find "are accepted as consistent with acute myocardial infarction".


More: https://flyvolo.ai/llms.txt