REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion
REBEL Cast
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Modified Scarposa Criteria for Left Bundle Branch Block Patients
The 2017 ACCA guidelines actually took scarposa criteria out of the stemming guidelines. The real key thing was really keying in onto the symptoms and people who had the most typical chest pain were the ones with occluded artery. "I think we just kind of overcall and overreact to things that aren't as typical," he says.
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Take Home Points Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately. POCUS has been a phenomenal tool in the management and early diagnosis of a lot of abnormal ECG and chest pain presentations. Isolated elevation in aVR ... 
