EM Fundamentals

ACUTE CORONARY SYNDROMES

Goals and Objectives Goals Resident will be comfortable with initial evaluation and basic management of patients with acute coronary syndromes Learning Objectives Resident will be able to define "acute coronary syndrome" Resident will be able to list diagnoses that comprise acute coronary syndromes Resident will be able to describe typical history and physical exam findings suggestive of ACS Resident will be able to list initial medical management indicated for patients with ACS Resident will describe typical ED course and disposition of patients with ACS

Recommended Resources Prior to Conference ACS Diagnosis and Management (Mayo Clinic Proc 2009) (Mobile) Who Needs PCI? (EMCrit / Steve Smith's ECG Blog) (pdf) ACS without STE (UChicago MEROps) STEMI Protocol (UChicago MEROps) ACS ECG Case (Amal Mattu) Additional Resources Overview Universal Definition of MI (Circulation 2012) (pdf) The rational clinical examination. Is this patient having a myocardial infarction? (JAMA) Who Needs PCI? (EMCrit / Steve Smith's ECG Blog) (pdf) Consensus Statements Indications for Reperfusion Therapy in Patients with AMI (ACEP Clinical Policy) Non-STE ACS (UA and NSTEMI) ACS without STE (UChicago MEROps) STEMI STEMI Protocol (UChicago MEROps) 2013 ACCF/AHA STEMI Guidelines (pdf) Lytics for STEMI (UChicago MEROps) Combined ACS Resources Acute Coronary Syndromes (CDEM) ACS Diagnosis and Management (Mayo Clinic Proc 2009) (Mobile) ACS ECG Case (Amal Mattu) ECG Diagnosis of MI ECG Interpretation (EMFundamentals) Anterior STEMI (LITFL) Inferior STEMI (LITFL) Posterior MI (EM-in-5) Posterior MI: How Accurate is Flipped ECG? (ALIEM) Diagnose STEMI in LBBB (HQ MedEd) Sgarbossa Criteria (EM-in-5) PV Card: Sgarbossa Criteria (ALIEM) Risk PV Card: TIMI Risk Score (ALIEM)

Original Post by Eric Shappell on 9/11/2014
Reviewed by James Ahn on 9/11/2014
Last Updated by Eric Shappell on 4/30/2016 Contact / Feedback