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Print version of STEMI Provider ManualThousands of ST-segment Elevation Myocardial Infarction (STEMI) patients fail to receive critical therapy in a timely fashion each year, and nearly 30 percent do not receive any reperfusion treatment at all. As a result, the American Heart Association created the STEMI Provider Manual to help address the ongoing need for training in the early recognition of STEMI.

This Manual prepares and enables out-of-hospital and in-hospital personnel to increase the assessment, diagnosis and treatment of STEMI patients.

The STEMI Provider Manual is intended for personnel in out-of-hospital and in-hospital, including paramedics, nurses, nurse practitioners, physician assistants and physicians. Also for other STEMI systems of care providers.


  • STEMI clinical information, including steps needed to attain treatment goals 
  • Direction on 12-lead ECG as a key tool in triage and treating Acute Coronary Syndromes (ACS) 
  • Distinguishing ECG findings for identifying patients into three ACS categories 
  • Steps for fibrinolytic therapy and percutaneous coronary intervention (PCI) 
  • Identifying pharmacologic agents for pain relief and reperfusion therapy 
  • Includes ECG ruler as companion tool

Purchase Options

AHA Approved Distributors

Visit one of our Distributors to purchase course materials.

Channing Bete Company

Laerdal Medical Corporation



Purchase and complete eLearning and blended learning courses

Go to to register and complete online courses.

Course Content

STEMI systems of care (out-of-hospital and in-hospital settings) 
  • Acute coronary syndromes (ACS) pathophysiology 
  • STEMI identification and treatment 
  • Appendix – 12-lead ECGs with annotations for self-study

Additional Information

Student Materials

90-1067 STEMI Provider Manual with ECG ACS Ruler

80-1181 ECG ACS Ruler is also sold separately.

Self-directed learning through review of the 80-page booklet and online exam.

This course does not offer a course completion card.

Students complete review of the booklet and learning objectives in about 1.5 hours (including the online test).

After review, students use the voucher provided in each Manual to log onto the AHA’s American Heart Association’s Professional Education Center and access the 20-question online exam.

Continuing Education (CE) for the STEMI Provider Manual expired on October 31, 2017.

CE will not be renewed for this product.

Changes: December 2011
STEMI Provider Manual (PDF)
[ISBN 978-1-61669-248-3, AHA Product Number 90-1067]