Halfway through an overnight shift, my partner and I responded to an elderly patient who was complaining of generalized body aches. Considering this a basic life support patient, I downgraded that patient to my partner. At the hospital, a 12-lead ECG showed our patient was experiencing a myocardial infarction (STEMI); requiring transfer to a percutaneous coronary intervention (PIC) capable hospital. Later, I learned the patient died after arriving at the hospital. It is hard to explain the