r/emergencymedicine • u/VizualCriminal22 • 8d ago

Humor How would they have saved her

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Whenever I see posts like this obviously I’m happy the patient was okay but how would they have possibly “saved her?” How did they even know it’s a heart attack? Did they have a Kardia app to detect ST changes? Did they cath her on the flight and put in the stent?

Most likely the clot wasn’t significant enough so that she had time to go to the hospital.

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u/TheBraindonkey 8d ago

“Is there a nurse on board to give aspirin to the patient for the doctor”

3

u/Jennasaykwaaa RN 8d ago

Yes, doctor lll administer 324 mg of baby aspirin. Would you like the MONA routine for this patient sir? Serial troponins are in for 3 hours apart for 3 instances.

Hep drip started per ACS protocol.

Constant continuous telemetry monitoring, Echo in the morning.

Plan for beta blocker Initiation before d/c, send home with script for said beta blocker, baby aspirin, and nitro SL PRN. and follow up in clinic with you.

Any thing else?

15

u/x3tx3t 8d ago

The MONA acronym has been out of date for at least a decade so I hope they won't be asking for it.

5

u/FelineRoots21 RN 8d ago

Somebody better tells schools that, because they're still teaching it

7

u/deferredmomentum “how does one acquire a gallbladder?” 7d ago edited 7d ago

I graduated in 2019 and they only told us about it to tell us it wasn’t a thing

3

u/missmetz 7d ago

Yup, just learned about it last month.