A patient with a 12-lead interpretation of Injury, Ischemia, or Infarct is considered high risk for an acute cardiac event. What must be done to complete an AMA in this case?

A patient with a 12-lead interpretation of Injury, Ischemia, or Infarct is considered high risk for an acute cardiac event. What must be done to complete an AMA in this case?

• A. Base station contact and physician over-read
• B. Immediate private transport without physician review
• C. No base station contact is required
• D. Transport without completing the AMA

Answer: (A)

When a 12-lead shows Injury, Ischemia, or Infarct, the patient is high risk for an acute cardiac event. In this situation, completing an AMA requires physician oversight. Contact the base station and obtain a physician over-read to review the ECG and the patient’s status, ensure the patient understands the risk, and документ informed refusal if transport is declined. This physician input provides medical justification and helps protect both the patient and EMS personnel. Without base station contact and a physician over-read, the AMA is not appropriate for a high-risk cardiac patient.

When a 12-lead shows Injury, Ischemia, or Infarct, the patient is high risk for an acute cardiac event. In this situation, completing an AMA requires physician oversight. Contact the base station and obtain a physician over-read to review the ECG and the patient’s status, ensure the patient understands the risk, and документ informed refusal if transport is declined. This physician input provides medical justification and helps protect both the patient and EMS personnel. Without base station contact and a physician over-read, the AMA is not appropriate for a high-risk cardiac patient.