Acute Coronary Occlusion

Acute Coronary Occlusion

From EMplify by EB Medicine by EB Medicine

March 1, 2026 · 28 min

About this episode

This episode discusses the diagnosis and management of acute coronary occlusion in emergency medicine.

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, Emergency Department Diagnosis and Management of Acute Coronary Occlusion 00:00 - Introduction & Welcome 01:21 - Episode Overview: Acute Coronary Occlusion 02:06 - Why This Topic Matters: Statistics & New Guidelines 03:35 - Nomenclature: ACO vs STEMI/NSTEMI 06:15 - Differential Diagnosis for STEMI 07:41 - Pre-Hospital Care & EMS Role 11:37 - Patient History & Presenting Symptoms 12:28 - Physical Examination Findings 14:54 - EKG: The Most Important Test 17:00 - STEMI Definition & Criteria 20:32 - STEMI Equivalents: Scarbosa Criteria 22:40 - Smith Modified Scarbosa Criteria 24:10 - Hyperacute T Waves 25:30 - Posterior STEMI 28:40 - De Winter Sign 29:38 - Non-STEMI EKG Findings 31:30 - AVR ST Elevation 32:47 - Wellens Syndrome 33:54 - Reciprocal ST Segment Changes 36:15 - Inferior MI Patterns 37:54 - Laboratory Testing 39:51 - Imaging: Chest X-Ray & Echocardiography 42:25 - Supplemental Oxygen: What the Evidence Shows 44:50 - Analgesia & Pain Management 46:35 - Pharmacotherapy: Aspirin & Antiplatelet Agents 49:18 - Reperfusion Therapies…

People in this episode

Guests: Sam Ashoo, MD, T.R. Eckler, MD

Topics covered

  • Acute Coronary Occlusion
  • Emergency Medicine
  • Diagnosis
  • Management
  • STEMI
  • Patient Care

Keywords

  • Acute Coronary Occlusion
  • STEMI
  • Emergency Medicine
  • Diagnosis
  • Management
  • Patient Care
  • EKG
  • Pharmacotherapy

Mentioned in this episode

Books & works: Emergency Department Diagnosis and Management of Acute Coronary Occlusion

More episodes of EMplify by EB Medicine

Explore listener stats, chart rankings, contacts and more on the EMplify by EB Medicine podcast page.