PHARM Podcast 145 Prehospital STEMI update with Rob Rogers #GETWELLSOONROB

Usually don’t get excited about ECGs like this, but this one is mine…#NoJoke #LifeChanger pic.twitter.com/fSng2k5pxK

— rob rogers (@EM_Educator) July 30, 2016

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Hi folks, I was planning to podcast anyway on prehospital STEMI, when tonight, @EM_Educator tweets out his own ECG showing an inferior STEMI! So I recorded this podcast to wish him well and a speedy recovery as well as talk about my change from morphine to fentanyl in managing acute STEMI chest pain. Follow Rob and wish him well on twitter please!

Show notes:

• Morphine-potentiated agonist-induced platelet aggregation through alpha2-adrenoceptors in human platelets

• Morphine Is Associated With a Delayed Activity of Oral Antiplatelet Agents in Patients With ST-Elevation Acute Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

• Morphine May Delay Onset of New Antiplatelets in Primary PCI
• Morphine at Acute MI May Blunt Short-Term Antiplatelet Response

• Platelet Inhibition After Pre-hospital Ticagrelor Using Fentanyl Compared to Morphine in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention (PERSEUS)

Podcast ( available here and on iTunes)

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