A 59-year-old man with chest pain presents to a remote northern nursing station. ECG shows a clear inferior STEMI. The nearest PCI-capable hospital is 500 km away and not reachable within 2 hours; helicopter transfer will take approximately 4 hours from first medical contact. Fibrinolytic therapy can be given within 30 minutes. According to Canadian STEMI guidance adapted to rural and remote settings, what is the best reperfusion strategy?