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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