<p>In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the February 2026 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-acute-coronary-occlusion" style="color:rgb(0,80,165);">Emergency Department Diagnosis and Management of Acute Coronary Occlusion</a></p><p></p><p>00:00 - Introduction &amp; Welcome</p><p>01:21 - Episode Overview: Acute Coronary Occlusion</p><p>02:06 - Why This Topic Matters: Statistics &amp; New Guidelines</p><p>03:35 - Nomenclature: ACO vs STEMI/NSTEMI</p><p>06:15 - Differential Diagnosis for STEMI</p><p>07:41 - Pre-Hospital Care &amp; EMS Role</p><p>11:37 - Patient History &amp; Presenting Symptoms</p><p>12:28 - Physical Examination Findings</p><p>14:54 - EKG: The Most Important Test</p><p>17:00 - STEMI Definition &amp; Criteria</p><p>20:32 - STEMI Equivalents: Scarbosa Criteria</p><p>22:40 - Smith Modified Scarbosa Criteria</p><p>24:10 - Hyperacute T Waves</p><p>25:30 - Posterior STEMI</p><p>28:40 - De Winter Sign</p><p>29:38 - Non-STEMI EKG Findings</p><p>31:30 - AVR ST Elevation</p><p>32:47 - Wellens Syndrome</p><p>33:54 - Reciprocal ST Segment Changes</p><p>36:15 - Inferior MI Patterns</p><p>37:54 - Laboratory Testing</p><p>39:51 - Imaging: Chest X-Ray &amp; Echocardiography</p><p>42:25 - Supplemental Oxygen: What the Evidence Shows</p><p>44:50 - Analgesia &amp; Pain Management</p><p>46:35 - Pharmacotherapy: Aspirin &amp; Antiplatelet Agents</p><p>49:18 - Reperfusion Therapies &amp; Thrombolytics</p><p>53:05 - Cardiac Arrest in STEMI Patients</p><p>53:55 - Closing Remarks &amp; CME Information</p><p></p>Subscribers, take the CME test <a href="https://www.ebmedicine.net/cme/cardiovascular/emergency-medicine-acute-coronary-occlusion" style="color:rgb(0,80,165);">here</a>.Emergency Medicine Residents, get your free subscription by writing [email protected]<p></p>