ACLS Megacode 7: STEMIHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 520%Pt arrives to ED/Casualty with diaphoresis, midsternal chest pain radiating to left arm and jaw.1. What are the best diagnostic / therapeutic first steps?*Give 4 (81mg) Aspirin tablets, 12 lead ekg, IV, oxygenIV, SL ntg , IV beta blockerIV, CT scan chest , heparinIV, chest xray, sl NTG, Arterial blood gasPt is a 54 y/o male, smoker, c/o chest heaviness ,diaphoresis, nausea present to ED/casualty via paramedics.IV placed an EKG has been done in Triage.2. Interpret the ekg and choose the best therapies:*Acute inferior STEMI, SL ntg, morphine and beta blockerNon-diagnostic EKG, admit for observation and stress test.Acute anterior STEMI, Aspirin, contact Cardiology for Lytic therapy or emergent cardiac angiography and intervention.NSTEMI, aspirin, statin, beta blocker and cardiology consult62 y/o woman with diabetes presents to ED/Casualty with epigastric discomfort, nausea and vomiting.BP: 150/80 P: 85 R:22 O2: 100% Temp: 36.7After she is seen by the Surgical resident, she develops hypotension BP 90/50 and an ekg is performed.3. What should be done urgently?*Inferior STEMI, aspirin, iv diuretics, beta blocker , morphine and cardiology consultNSTEMI, aspirin, Beta blocker and heparinAnterior STEMI, IV diuretics, SL NTG, IV beta blocker, lytic therapyInferior STEMI, aspirin, IV fluid bolus, cardiology consultOn the next rhythm check, the patient demonstrates the following rhythm: She now has a palpable pulse but is hypotensive, unresponsive, and hypoxic.4. What are the next appropriate steps in management?*Defibrillate, prepare to intubateIntubate and give amiodaroneIntubate and continue CPRCardiovert, prepare to intubateAfter cardioverting and intubating, you get an EKG which demonstrates the following: You re-assess the patient and cannot palpate a pulse.5. What is the next step?*DefibrillateCardiovertAmiodaroneEpinephrine This iframe contains the logic required to handle Ajax powered Gravity Forms.
