When we first discovered that ASA was useful I was working ER. I had a gentleman come in with massive ST elevations in the throws of an MI. I looked at the EKG turned to the nurse and said give him an 81 mg aspirin immediately and went out to write more orders.
The guys eyes widened and I could read his face - 'the ole take two aspirin and call me in the morning routine he thought " he was in shock and thought I was a quack . After getting orders written nitro drip going morphine etc etc I sat and talked with him about the rationale for the ASA and he felt more at ease after our discussion
Unfortunately I have been around long enough to remember the days before stenting . When UK went to nationalized health the standard of care was if you walked into an ER with a stable MI you were given an aspirin and sent home !!
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