EMS Inferior STEMI

A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If the learner does not recognize inferior STEMI (with RV infarct here), gives NTG, or does not sufficiently fluid resuscitate, the patient will deteriorate into cardiac arrest.

Learning Objectives

– Recognize inferior STEMI
– Recognize risk for RV infarct and give appropriate care
– Avoid vasodilators