Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Lori Hendrickx


Each year thousands of Americans experience a type of heart attack known as a ST-segment elevation myocardial infarction (STEMI). During a STEMI, blood flow is blocked to a portion of the heart resulting in heart muscle death. That person’s life is seriously in danger if the blockage is not eliminated and blood flow restored in a timely manner. The goal of treatment during a STEMI is to establish an early diagnosis through performing a 12 lead electrocardiogram (ECG). Ambulance personnel, who transport these patients, have the capability to perform an ECG and transmit that ECG to the destination hospital for review by the medical provider. Pre-hospital ECGs are directly related to decreased reperfusion times. Despite these benefits and rural pre-hospital providers having the capability, fewer than 10% of patients experiencing a STEMI receive a pre-hospital ECG. The purpose of this practice innovation project was to increase the knowledge, competency, and comfort level of rural EMTs in assessing and obtaining ECGs on patients that they transport to a small, rural hospital.

Library of Congress Subject Headings

Emergency medical personal -- Training of


Includes bibliographical references (pages 37-40)



Number of Pages



South Dakota State University


In Copyright - Non-Commercial Use Permitted