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

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!

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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