…patients without severe ischaemia. Evaluation and Physical Examination The initial evaluation should be structured to establish a working diagnosis of STEMI rapidly, identify haemodynamic or…

…10 people must be treated to save 1. Thus, the greatest opportunities exist in the first few minutes, which is within the reach of bystanders…

…accounts for a minority of cases Hypoactive Lethargy, slow responses, reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss…

…Journal of the American Medical Association (JAMA) published an article titled Hearts too good to die (JAMA, 1961). A total of 500 cases of fatal…

…target of less than 10 minutes from STEMI diagnosis to the fibrinolytic bolus. In suitable systems, pre hospital fibrinolysis is reasonable when it provides a…

…have been discussed previously (refer to ECG Changes in Acute Myocardial Infarction), a rehearsal is provided below. Management of acute STEMI is discussed in detail…

…A significant majority of these patients exhibit satisfactory neurological function upon discharge. Figure 1 . Expected cardiopulmonary function and alertness in decreasing body temperature according to…

…ventilation can extend the duration of the shockable rhythm by several minutes, allowing for EMS or bystanders to connect a defibrillator or AED and defibrillate…

…brain infarction is not expected to occur within a reasonable time, and in whom death is judged likely within 180 minutes of treatment being withdrawn …

…consider within 15 hours of the last dose. Andexanet alfa where available Low molecular weight heparin Protamine has only a partial effect Unfractionated heparin Protamine…