Angina/MI: Difference between revisions

From Guide to YKHC Medical Practices

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[[image:All Emergency RMT.png|750px]]
[[image:All Emergency RMT.png|750px]]  
 
[[media:pediatric critical care guide.pdf|Pediatric Critical Care Guide]] 
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'''Angina/MI RMT'''
'''Angina/Acute Coronary Syndrome RMT'''


Most clinics have telemedicine 12-lead ECG capability available to help in the evaluation of ischemic chest pain symptoms that can be loaded into the RAVEN Multimedia Manager.  
Most clinics have telemedicine 12-lead ECG capability available to help in the evaluation of ischemic chest pain symptoms that can be loaded into the RAVEN Multimedia Manager.  
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If chest pain does not appear ischemic, a patient is often commercially transported to the ER in Bethel for further more likely atypical chest pain.
If chest pain does not appear ischemic, a patient is often commercially transported to the ER in Bethel for further more likely atypical chest pain.


[[Myocardial Infarction – Acute|See Myocardial Infarction - Acute 2019 Clinical Guideline]]
 
[[media:MI.pdf|See Acute Coronary Syndrome YKHC Clinical Guideline]]
<br/>[[Emergency RMT Scenarios and Responses]]

Latest revision as of 12:28, 20 November 2020

All Emergency RMT.png


Angina/Acute Coronary Syndrome RMT

Most clinics have telemedicine 12-lead ECG capability available to help in the evaluation of ischemic chest pain symptoms that can be loaded into the RAVEN Multimedia Manager.

ECG confirmation of concerning symptoms in a middle-aged to elderly patient with cardiac risk factors might warrant medevacking such a patient to the Bethel ER for further evaluation including risk assessment for possible thrombolytics within the 12 hour treatment window.

Morphine, Oxygen, Nitroglycerin and Aspirin (MONA) are all available in the village clinic if needed.

If chest pain does not appear ischemic, a patient is often commercially transported to the ER in Bethel for further more likely atypical chest pain.


See Acute Coronary Syndrome YKHC Clinical Guideline
Emergency RMT Scenarios and Responses