Angina/MI
From Guide to YKHC Medical Practices
Angina/MI 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.
