Emergency Medicine: Cardiac Emergencies
STEMI, cardiac arrest algorithms, and acute cardiac emergencies.
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What is the standard goal for door-to-balloon time in a patient presenting with a STEMI?
90 minutes
Which two cardiac arrest rhythms are considered 'shockable'?
Ventricular Fibrillation (VF) and Pulseless Ventricular Tachycardia (pVT)
What are the three components of Beck's Triad for cardiac tamponade?
Hypotension, JVD (Jugular Venous Distension), and muffled heart sounds
In the Stanford classification of aortic dissection, which type involves the ascending aorta?
Stanford Type A
What is the recommended dose of aspirin for a patient with suspected Acute Coronary Syndrome (ACS)?
162 mg to 325 mg (chewed)
What does the acronym MONA stand for in the context of initial ACS management?
Morphine, Oxygen, Nitroglycerin, and Aspirin
What is the EKG diagnostic criteria for ST-segment elevation in most leads for a STEMI diagnosis?
New ST-elevation at the J point in at least two contiguous leads of ≥ 1 mm
How often should Epinephrine be administered during a cardiac arrest resuscitation attempt?
Every 3 to 5 minutes
What is the target temperature range for Targeted Temperature Management (TTM) in post-cardiac arrest care?
32°C to 36°C
In the management of acute heart failure, what does the mnemonic LMNOP represent?
Lasix (Furosemide), Morphine, Nitrates, Oxygen, and Position (or PEEP)
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