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Case Introduction
An ill appearing patient has been rushed back from the lobby, clutching his chest, you are needed immediately at the bedside…
Initial Vitals
- Temp 99.1
- HR 95
- RR 20
- BP 120/80
- O2 98%
Critical Actions
- Obtain Early EKG
- Notify Cardiology of Inferior STEMI
- Bring Crash Cart to Bedside
- Administration of Heparin
- Counsel the Family
Dangerous Actions
- Giving Nitroglycerine to Patient with Inferior MI and on Sildenafil
- Giving Aspirin to Patient with Allergy to Aspirin
Final Diagnosis
Cardiac Arrest due to Inferior STEMI
Tips and Tricks
Ask about allergies prior to administering medications
Additional Reading
- Approach to STEMI (EM Clerkship)
- American Heart Association STEMI Guidelines (AHA)
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