Register as a teacher
Unknown Story
Storyboard Text
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
-   
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
- Here's some medication for the pain and to make sure the heart attack doesn't get worse
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
- After identifying an anterolateral STEMI on the patient's ECG, I would transmit this to the receiving hospital. I would also recognise that I am a long way from hospital and determine whether I meet criteria for prehospital thrombolysis. Given that the time to hospital is <60 minutes, I would place an IV, administer 4,000u IV heparin and consider minimising interventions so as to not delay transport
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
- The patient should be managed as per the Acute Coronary Syndromes CPG. I would begin by administering 300mg oral aspirin, 300mcg S/L GTN & 50mg transdermal GTN patch. 
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
- I would then administer 50mcg IV fentanyl and 8mg IV ondansetron, making sure not to delay transport for these interventions as they can be achieved during transport
- Acute Coronary Syndromes, STEMI management, Pain Relief and Nausea & Vomiting
- I would ensure that I am not delaying transport for any reason and on the way to the nearest PCI centre, I would be reassessing the patient's pain, blood pressure, heart rate and repeating an ECG 30 minutes prior to arriving. 
Over 40 Million Storyboards Created
No Downloads, No Credit Card, and No Login Needed to Try!
