Acute Coronary Syndrome

• Acute Coronary Syndrome (ACS) has become increasingly common in our population and, as a result, our use of lytics has increased. If ACS is suspected, the order set for chest pain will be initiated. Cardiology is usually available at ANMC to review your EKG if you wish before initiating lytics. Most acute MI patients will be medevac’d to ANMC – possible exceptions include the elderly with multiple co-morbid conditions who aren’t eligible for operative intervention.
• If you give lytics, the patient goes via medevac to ANMC.

Resources/References

• ACS (Acute Coronary Syndome) in the Emergency Department
• ACS (Acute Coronary Syndome) in a Village
• ED ACS Adult Guideline revision 2020 by Dr. Andrew Swartz
• High-sensitivity Troponin-T by Dr. Andrew Swartz
• Acute Coronary Syndrome YKHC Clinical Guideline

YKHC Clinical Guidelines
Common/Unique Medical Diagnoses