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

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
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Last Updated on July 3, 2022

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