The Resus Room

Acute Coronary Syndrome; Roadside to Resus

30 snips
Sep 15, 2021
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ADVICE

Use Risk Scores Wisely

  • Use validated risk scores like GRACE to assess ACS prognosis and guide management.
  • Only apply risk scores after clinical suspicion of ACS is established from history and exam.
ADVICE

Get ECGs Early and Thorough

  • Perform a 12-lead ECG within 10 minutes of patient contact for early ACS diagnosis.
  • Use serial and modified lead ECGs (V7-V9, V4R) to detect posterior and right ventricular MIs.
ADVICE

LBBB Needs Clinical Judgment

  • Treat patients with left bundle branch block and high suspicion of ischemia as STEMI regardless of whether the block is new or old.
  • Use clinical judgment rather than relying solely on ECG changes in LBBB.
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