Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion
00:00 – Introduction & Welcome
01:21 – Episode Overview: Acute Coronary Occlusion
02:06 – Why This Topic Matters: Statistics & New Guidelines
03:35 – Nomenclature: ACO vs STEMI/NSTEMI
06:15 – Differential Diagnosis for STEMI
07:41 – Pre-Hospital Care & EMS Role
11:37 – Patient History & Presenting Symptoms
12:28 – Physical Examination Findings
14:54 – EKG: The Most Important Test
17:00 – STEMI Definition & Criteria
20:32 – STEMI Equivalents: Scarbosa Criteria
22:40 – Smith Modified Scarbosa Criteria
24:10 – Hyperacute T Waves
25:30 – Posterior STEMI
28:40 – De Winter Sign
29:38 – Non-STEMI EKG Findings
31:30 – AVR ST Elevation
32:47 – Wellens Syndrome
33:54 – Reciprocal ST Segment Changes
36:15 – Inferior MI Patterns
37:54 – Laboratory Testing
39:51 – Imaging: Chest X-Ray & Echocardiography
42:25 – Supplemental Oxygen: What the Evidence Shows
44:50 – Analgesia & Pain Management
46:35 – Pharmacotherapy: Aspirin & Antiplatelet Agents
49:18 – Reperfusion Therapies & Thrombolytics
53:05 – Cardiac Arrest in STEMI Patients
53:55 – Closing Remarks & CME Information
Subscribers, take the CME test here.
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion
00:00 – Introduction & Welcome
01:21 – Episode Overview: Acute Coronary Occlusion
02:06 – Why This Topic Matters: Statistics & New Guidelines
03:35 – Nomenclature: ACO vs STEMI/NSTEMI
06:15 – Differential Diagnosis for STEMI
07:41 – Pre-Hospital Care & EMS Role
11:37 – Patient History & Presenting Symptoms
12:28 – Physical Examination Findings
14:54 – EKG: The Most Important Test
17:00 – STEMI Definition & Criteria
20:32 – STEMI Equivalents: Scarbosa Criteria
22:40 – Smith Modified Scarbosa Criteria
24:10 – Hyperacute T Waves
25:30 – Posterior STEMI
28:40 – De Winter Sign
29:38 – Non-STEMI EKG Findings
31:30 – AVR ST Elevation
32:47 – Wellens Syndrome
33:54 – Reciprocal ST Segment Changes
36:15 – Inferior MI Patterns
37:54 – Laboratory Testing
39:51 – Imaging: Chest X-Ray & Echocardiography
42:25 – Supplemental Oxygen: What the Evidence Shows
44:50 – Analgesia & Pain Management
46:35 – Pharmacotherapy: Aspirin & Antiplatelet Agents
49:18 – Reperfusion Therapies & Thrombolytics
53:05 – Cardiac Arrest in STEMI Patients
53:55 – Closing Remarks & CME Information
Subscribers, take the CME test here.
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
