REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion
REBEL Cast
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The Importance of a Good History and Physical Exam
The symptoms are so critically important. Find out if you think this patient really has symptoms consistent with aschemia with an acute coronary occlusion. If the EKG or the ECG doesn't give you the answer, that doesn't mean that the patient isn't having ongoing aschemia. And you have to kind of trust your gut a little bit on the side of being a little bit cautious.
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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 ... 
