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💔 STEMI: Priority AntiThrombotics - #MEDSHED
💉 ST-Elevation Myocardial Infarction (STEMI) primarily stems from complete occlusions of coronary arteries from plaque and clot deposits. Chest pain is common with heart attacks. STEMI benchmarks start now.
📢 Looks like you got 10 minutes for an EKG. With a STEMI confirmed, the patient has 90 minutes to the cath lab for revasculirization. If unavailable, patients should receive thromblytics. Our priority is revascularization and antithrombotics address the underlying cause. Patients need to receive ASA 300 - 325 mg depending on route of administration and weight-based heparin per hospital protocol. Nitroglycerin SL and opioids are for symptomatic relief. I preference not giving P2Y12s in the ED because vessel damage and CABG indication are unknown.
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