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You have 90 minutes to restore blood flow. Step 1: Obtain EKG and Call STEMI Alert This activates ED resources as well as cath lab, interventional cardiology, etc Step 2: Stop the Platelets Dual anti-platelet therapy Aspirin 325mg chewed (or PR) Plavix 600mg (not usually given in ED) Complicates management if patient needs CABG Step […] 
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