NEJM reports a case of self-management of an inferior STEMI


eMediNexus    09 March 2018

The case of a 44-year-old man in Australia who initially self-managed his STEMI has been reported in the New England Journal of Medicine March 8, 2018. He performed and emailed his own electrocardiograms to an emergency physician by means of the Emergency Telehealth Service (ETS). He self-cannulated both antecubital fossae for intravenous access and self-administered aspirin, clopidogrel, sublingual nitroglycerin, intravenous heparin, and opiates. He attached his own defibrillator pads and prepared adrenaline, atropine, and amiodarone. After thrombolysis, there was resolution of his ST-segment elevation and symptoms. He was then transferred by the Royal Flying Doctor Service to a tertiary care unit in Perth (NEJM)

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