This episode dives into the rapid evaluation and management of suspected Acute Coronary Syndrome (ACS), including myocardial infarction and unstable angina, in the emergency department, straight from the UpToDate article. It covers urgent steps like obtaining an ECG within 10 minutes, using troponin biomarkers, and differentiating STEMI from NSTEACS. Learn initial pharmacologic interventions, such as aspirin and nitroglycerin, and tackle challenges in diagnosing atypical presentations in women, older adults, and diabetic patients. Key subtopics conclude with “if you can’t remember everything, remember this” for critical takeaways. Listen to sharpen your ED skills, apply a tip on rounds, and share feedback!