There has been an increase in First Medical Contact (FMC) to initial 12 lead time across the region.  This needs to be reduced as it has an impact on other factors such as total scene time and hospital team activation.  The frequency of 12 leads obtained on patients over the age of 34, who also present with chest pain, has increased across the region.  Data from the last two quarters of 2017 on Post-ROSC 12 leads showed a very slight decline in numbers; no data was available for the first two quarters.  This is another piece of information that may be useful to the receiving facility.