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The Nitro Myth Paramedics Won’t Let Die

The Nitro Myth Paramedics Won’t Let Die

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ou learned it in medic school: nitro “opens the coronary arteries,” and giving it to a right ventricular MI can tank your patient. Nice, clean, easy to test—and maybe not nearly as settled as we’ve been pretending.

In this episode of The Ten Minute Medic, we tear into what nitroglycerin actually does to preload and myocardial oxygen demand, why RV infarctions make us nervous, and the surprisingly thin evidence behind one of EMS pharmacology’s most sacred contraindications.

Know the guideline. Follow your protocol. But for crying out loud, don’t stop asking why.

Revisiting Nitroglycerin in MI with Right-Side Ventricular Involvement

NTG Study Guide

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