STEMI (Suspected)
General adult Assessment
Continue Assessment
Go to General Adult Assessment
12-Lead ECG within 5 mnutes
of patient contact
STEMI
Facility
STEMI
notification telemertry immediately
upon recongnition of STEMI
Vascular Access
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Go to Vascular Access
Oxygen
Keep SPO2 >94%
ASPIRIN
324 mg PO
NITROGLYCERIN
Assist pt with own HTG
as prescribed; may
repeat X 2
0.4mg SL; may repeat
q 5 min X 2
Pain Management for
continued pain
Nitroglycerin is contraindicated in any patient
with hypotension, bradycardia, tachycardia
(HR>100bpm) in the absence of heart failure,
evidence of a right ventricular infarction, and use
of erectile dysfunction medications within the last
48 hours. Caution is advised in patients with
Inferior Wall STEMI and a right-sided ECG should
be performed to evaluate RV infarction.
Refer to Arrhythmia and Shock Protocols as
needed
Consider anti-emetic
for naues/vomiting:
ONDANSETRON
4.0mg ODT/I/IV/OI
or
METOCLOPRAMIDE
10mg slow IV bolus
over 1-2 minutes or IM
or
PROCHLORPERAZINE
Up to 10mg IV/IM/IO
Transport and re-notify
receiving facility