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Im Cory slovis I direct emergency medicine at Vanderbilt Medical Center I serve as professor and chair of the department of emergency medicine my role in EMS is I direct from the medical point national fire department and have the privilege of being their medical director and also being the medical director at the Nashville International Airport at EMS today I spoke about the diagnosis and treatment of acute myocardial infarction and unfortunately Ajay forced me into giving it twice but I believe the reason I did have to give it twice was because of the desire to have as many people as possible be able to hear the topic the treatment of myocardial infarction has really evolved over the past few years especially in the pre-hospital setting weve gone from just transporting chest pain patients to being able to pre alert the hospital with a 12-lead ECG either by transmitting it or at least interpreting it in alerting the hospital that we have a STEMI by doing so time and muscle are saved