Ischemia Awareness for Monitor Techs — ECG Academy Lesson

Recognize new ST-segment changes on telemetry, understand what telemetry can and cannot tell you, and escalate objective changes without diagnosing acute coronary syndrome.

Learning Objectives

• Explain the monitor-tech scope for ischemia findings: detect, document, and escalate rather than diagnose
• Recognize new ST elevation or depression patterns that should trigger prompt escalation
• Use baseline comparison and trend, not location guessing, to describe ST changes objectively
• Explain why telemetry is a screening tool and a 12-lead ECG is still required for diagnosis
• Understand the limitations of telemetry monitoring versus 12-lead ECG
• Communicate ST changes effectively using SBAR framework