Admitted a STEMI from cath lab. Story was he called the ambulance and ambulance activated the STEMI team prior to arrival. My orientee said “So the ER just takes the ambulance crews word for it that it was a STEMI?” I replied “Well, they are all trained to spot EKG changes for that reason so yes.” He said “That’s stupid. What if they were wrong?” So I pulled out the patient’s ambulance EKG which had very minute elevation in leads II, III, & avf & asked him to find the elevation. He was unable to so I showed him the changes & the reciprocal depression. I said “You don’t get to act better than someone just because you get paid more & went to school longer. Without those guys out there to catch that this patient could have had major heart damage from precious minutes being wasted.” He shut up for a bit at least. 😠