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Acute Coronary Occlusion

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 (https://www.ebmedicine.net/topics/car...) 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 & Thrombolytics 53:05 - Cardiac Arrest in STEMI Patients 53:55 - Closing Remarks & CME Information Subscribers, take the CME test here (https://www.ebmedicine.net/cme/cardio...) . Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net