STEMI interpretation and Bypass

MedicASK - Question Number : 177
MedicASK - Question:

An indication for the STEMI bypass protocol (4a) is at least 2mm ST-elevation in leads V1-V3 in at least 2 anatomically contiguous leads OR at least 1mm ST-elevation in at least 2 other anatomically contiguous leads (4b.) I was taught to look for at least 2mm ST-elevation in leads V1-V6, and at least 1mm in the other leads.

MedicASK - Answer:

Please follow up with your service for the application of the STEMI Standard.

Very soon, there will also be an ECG online module on MedicLEARN that will address this specific question.

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STEMI Bypass

MedicASK - Question Number : 201
MedicASK - Question:

New 2017 STEMI bypass - In the RPPEO 2014 Powerpoint it states a STEMI must be recognized prior to a patient going VSA and subsequent ROSC in order to be considered for bypass. It does state "Pending Final Approval." The EHSB document states a contraindication is VSA without a ROSC but doesn't specifically state in the standard a STEMI must be identified before. Example would be patient goes VSA, is resuscitated and is now conscious complaining of chest pain, 12 lead indicates STEMI positive

MedicASK - Answer:

Please refer to your service for STEMI questions, as the the current STEMI bypass criteria now falls under the BLS standard.

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