A 55-year-old male with no significant past medical history presents with severe crushing central chest pain radiating to the left arm. He is pale, sw...

Question

A 55-year-old male with no significant past medical history presents with severe crushing central chest pain radiating to the left arm. He is pale, sweating, and nauseated. His 12-lead ECG shows 4 mm ST-elevation in V1-V4. He has no allergies. In addition to aspirin 300 mg, what other medications should be administered pre-hospital per JRCALC?

Accepted Answer

Morphine titrated IV for pain, GTN sublingual (if SBP >90 mmHg), and high-flow oxygen only if SpO2

Answer

Thrombolysis with tenecteplase immediately

Answer

Oral atenolol 50 mg

Answer

Clopidogrel 600 mg loading dose

Answer

IV heparin 5000 units bolus

uk-dipimc MCQ (SBA): STEMI Pre-Hospital Management