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 […]
Jul 2022
156. Time is Tissue - An Approach to STEMI
Send us Fan MailIn this high yield episode, we review the clinical presentation, up front investigations, immediate and long-term management of patients who present with STEMIs - one of the 5 causes of life-threatening chest pain. Our medicine minute reviews the PLATO trial, whic ... Show More
20m 7s
<p><strong>Contributor: Travis Barlock, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">The presence of a STEMI has traditionally been used to determine if a patient with acute chest pa ... Show More