Acute coronary syndrome management, stroke thrombolysis basics
Emergency Medicine and Critical Care · MBBS
Study notes
Chest pain, ST elevation — STEMI; PCI <90min; artery opened. ACS (chest pain — ECG — STEMI — ST elevation; NSTEMI — troponin: MONA — morphine, oxygen, nitrates, aspirin — 300mg chew; definitive — PCI <90min — thrombolyse <30min — streptokinase/tenecteplase; DAPT — aspirin + clopidogrel), stroke (FAST — face, arm, speech: CT — bleed vs infarct — ischemic <4.5h — alteplase — 0.9mg/kg; thrombectomy — large vessel — <6h; bleed — neurosurgery). The ST elevation is STEMI — open the artery.