Episode 53- Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department

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Episode 53- Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department

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EMplify January 2021

Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department

Authors

Marshall Frank, DO, MPH, FACEP

Carson Sanders, BS, NRP, CCEMT-P

Bryan P. Berry, MD, BCEM, FACEP

Topics

Epidemiology

Pathophysiology

Prehospital care

Emergency Dept Evaluation

• History
• Physical

Imaging

Labs

Electrocardiogram

• aVR
• Posterior Leads
• LBBB
• Serial ECGs
• Reciprocal Changes
• Pericarditis vs STEMI

Treatment

• Oxygen
• Opioids
• Antiplatelet Agents
• Nitroglycerin
• Beta Blockers
• Reperfusion
  • PCI
  • Thrombolytics
  • Dysrhythmias
• Anticoagulants

Transfers

Special Circumstances

• Gender
• Age
• Cocaine

Last Updated on January 25, 2023

Sam Ashoo, MD

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…