STEMI pathway — DipIMC MCQ

Correct answer: D — Pre-alert and transport directly to the PCI-capable centre

Option D is correct because Direct transfer to a reperfusion-capable pathway is preferred when within local time criteria. Option E is less appropriate because the clinical risk exceeds that destination or timeframe; option C is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option B is less appropriate because watchful waiting risks deterioration or delays definitive care; option A is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines