Question

A 64-year-old Aboriginal man living in a remote community presents to the remote clinic with sudden onset chest pain. The nearest hospital with PCI capability is 6 hours away by air. The Royal Flying Doctor Service has been contacted and will arrive in 90 minutes. His ECG shows clear STEMI. According to Australian rural STEMI practice, what is the BEST reperfusion strategy?

Accepted Answer

Administer fibrinolysis at the remote clinic as soon as possible, then transfer for angiography

Answer

Wait for arrival at the PCI centre and avoid fibrinolysis

Answer

Give only aspirin and oxygen until RFDS arrives

Answer

Start a heparin infusion only

Answer

Do nothing until a cardiologist reviews the ECG

Practice question