Defib Pads in STEMI ​

Why apply defib pads for all STEMIs?​

• Reported rates of ~5% of STEMIs diagnosed in the field go on to have OHCA​​
  • VF/pVT is common​​

• Minimizing time to shock is advantageous (improves favourable neurologic survival)

Local study showed decreased time to shock in the setting of STEMI​ when pads were applied once STEMI was identified​

• Average time to initial defibrillation was 17.7 seconds in the “pads-on protocol” patients, compared with 72.7 seconds in routine care patients.

Summary​

Application of defib pads in STEMI, which has a known incidence of ~5% OHCA post Dx, allows for quicker defibrillation and likely favourable neurologic survival ​​

​Now you know the rationale for this treatment!

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