For pregnant patients see:<unk>  in pregnancy
For pediatric patients see:<unk>  in pediatrics
According to ACC consensus statement "During the<unk>  pandemic, PCI remains the standard of care for STEMI patients"
If thrombolytics are indicated options include:
Administer 10u Retavase (reteplase) IV bolus followed by a second bolus at 30 minute rather than PCI.  OR
Tenecteplase (TNKase) 30 mg IV bolus
If Tenecteplase is not available, it is acceptable to administer a lower dose of alteplase (tPA) at 50 mg (8 mg bolus, followed by 42 mg infusion over 90 minutes).
Follow thrombolytics by 40u/kg heparin (max dose 4,000 units) IV and 600mg clopidogrel PO and ASA 325 mg PO
Administer 10u Retavase (reteplase) IV bolus followed by a second bolus at 30 minute rather than PCI.  OR
Tenecteplase (TNKase) 30 mg IV bolus
If Tenecteplase is not available, it is acceptable to administer a lower dose of alteplase (tPA) at 50 mg (8 mg bolus, followed by 42 mg infusion over 90 minutes).
Follow thrombolytics by 40u/kg heparin (max dose 4,000 units) IV and 600mg clopidogrel PO and ASA 325 mg PO
Interim AHA Guidance
Don all PPE prior to initiating CPR. CPR is aerosol generating.
Intubate early, video laryngoscopy preferred
Pause chest compressions during intubation
If patient is on ventilator at time of arrest consider leaving patient on ventilator
Adjust ventilator to allow for asynchronous ventilation
If using BVM then attach high efficiency particulate air (HEPA) filter
Use of mechanical compression device (e.g. LUCAS) is encouraged
Use auto CPR device if available
Don all PPE prior to initiating CPR. CPR is aerosol generating.
Intubate early, video laryngoscopy preferred
Pause chest compressions during intubation
If patient is on ventilator at time of arrest consider leaving patient on ventilator
Adjust ventilator to allow for asynchronous ventilation
If using BVM then attach high efficiency particulate air (HEPA) filter
Use of mechanical compression device (e.g. LUCAS) is encouraged
Adjust ventilator to allow for asynchronous ventilation
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