Revise evidence in AMI

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Aug 6th, 2022
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How to revise evidence in AMI

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good day everybody and welcome back this is podcast number two for ls13 010 uh evidence and proof Iamp;#39;m still Anthony marck and today weamp;#39;re going to be looking at the two Paramount Rules of Evidence law relevance and admissibility these really are the fundamental concepts behind evidence law and if you donamp;#39;t understand these fundamental concepts the rest of the of the course is going to be almost impossibly difficult so this is probably the most uh well I wonamp;#39;t say the most important material that weamp;#39;ll cover in the week um but it is information that you really need to understand for the rest of the semester to make any sense so if you get to the end of this lecture and you get to the end of the reading and you still havenamp;#39;t got your head around relevance and admissibility it would be a great idea to jump onto the bulletin boards and say so or to get into get in contact with me directly because these are the key Concepts that underpin the e

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For individuals experiencing symptoms of a possible AMI, the following actions are recommended: Seek immediate medical attention if symptoms suggest an MI, such as chest pain or discomfort, shortness of breath, nausea, or lightheadedness. Go to the emergency department as soon as possible.
One of the most important aspects of care of the patient with MI is the assessment. Assess for chest pain not relieved by rest or medications. Monitor vital signs, especially the blood pressure and pulse rate. Assess for presence of shortness of breath, dyspnea, tachypnea, and crackles.
Treatment is with antiplatelets, anticoagulants, nitrates, beta-blockers, statins, and reperfusion therapy. For ST-segment-elevation myocardial infarction, emergency reperfusion is via fibrinolytic drugs, percutaneous intervention, or, occasionally, coronary artery bypass graft surgery.
In this large, registry-based randomized controlled trial, the REDUCE-AMI investigators showed that the routine use of -blockers after a low-risk AMI with preserved LVEF, early revascularization, and on other contemporary pharmacotherapies does not reduce the composite of death or recurrent AMI over a mean follow-up
Acute myocardial infarction with rupture and tamponade, gross. Intermediate (healing) myocardial infarction (1 - 2 weeks), microscopic. Remote myocardial infarction (3 to 4 weeks), microscopic. Remote myocardial infarction (2 months), microscopic.
Electrocardiogram (ECG or EKG). Sticky patches (electrodes) are attached to the chest and sometimes the arms and legs. Signals are recorded as waves displayed on a monitor or printed on paper. An electrocardiogram (ECG) can show if you are having or have had a heart attack.
On arrival in the ED the patient with suspected acute MI should immediately receive (1) oxygen by nasal prongs; (2) sublingual nitroglycerin (unless systolic arterial pressure is less than 90 mm Hg or heart rate is less than 50 or greater than 100 beats per minute [bpm]); (3) adequate analgesia (with morphine sulfate
2 Myocardial infarction is ruled out if cardiac troponin concentrations are very low (thresholds near or at the limit of detection) in patients presenting at least 3 hours from chest pain onset.

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