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