AMI Mortality Board Committee on Quality report from 4/13/2017 made a goal to provide increased education to RNs dealing with AMI population of patients. RN staff in ER will have basic workable understanding of 12 lead ECG elements, proper lead placement to present accuarate readings for interpretation, basic understanding of determining STEMI and NSTEMI ECG presentations as well as bundle branch block presentations with respect to AMI. Learning Objectives: At the close of this presentation, participants should be able to - Demostrate 12 lead ECG placement for visualization of STEMI and NSTEMI AMI in ER Discuss the importance of proper positioning of leads for visualization accuracy Explain the bundle branch block presence in 12 lead ECG's performed in ER