STEMI
Assistant is a condensed 42 page reference manual for health care practitioners who care for patients experiencing acute ST
Segment Elevation Myocardial Infarction (STEMI). STEMI Assistant presents the latest evidence-based practices
as described in the American College of Cardiology (ACC) / American Heart Association (AHA) 2013 STEMI Guidelines, AHA/ACC
2014 Non-ST Elevation (NSTE)-ACS Guidelines and evidence based practices described in 19 additional recent scientific journal
articles.
STEMI Assistant is designed to serve as both a classroom
textbook and an emergency bedside reference. It is formatted in a sequential, easy to follow order starting with
basic definitions of typical and atypical symptoms of Acute Coronary Syndrome (ACS), the latest AHA/ACC/Heart Rhythm
Society guidelines for obtaining 12 and 18 Lead ECGs, accurate identification of pre-infarction and STEMI ECG patterns and
the identification of STEMI when bundle branch blocks are present.
Model protocols for hospital and pre-hospital practitioners describe the latest evidence based practices for
the management of patients with acute chest pain, NSTE-ACS, and STEMI in PCI capable and non-PCI capable scenarios.
A generic Emergency Department Physician's STEMI order set reflects the latest AHA/ACC practices for the treatment of STEMI
in the ER and satisfies multiple Key Items listed in the Society of Cardiovascular Patient Care's Chest Pain Center accreditation
standards.
ACS Risk Stratification is presented,
and features the HEART Score. This section of the book was edited by Barbra Backus, MD, PhD, the physician researcher
who developed the HEART Score.
Remote
Ischemic Conditioning (RIC), an emerging non-invasive procedure proven to reduce myocardial injury from heart attack is introduced,
along with a suggested protocol for its application. RIC can be implemented by EMS personnel while enroute to a hospital
or in the emergency department prior to cardiac catheterization.
When
used as an emergency bedside reference, the book cover features a 12 Lead ECG divided into five color-coded anatomic regions
of the heart. Arrows lead from each anatomic region and point to the page number where information specific to each
type of STEMI can be found. The information provided advises the clinician of the coronary artery that is most likely
occluded, specific complications to anticipate and special considerations that should be observed based on correlations of
abnormal ST patterns with common coronary artery anatomy as described in multiple evidence-based publications.