A 58-year-old has had central crushing chest pain for one hour and is diaphoretic. A 12-lead ECG shows ST elevation in the anterior leads. A primary

Question

A 58-year-old has had central crushing chest pain for one hour and is diaphoretic. A 12-lead ECG shows ST elevation in the anterior leads. A primary percutaneous coronary intervention centre is 20 minutes away.

Accepted Answer

Give aspirin 300 mg and analgesia, and pre-alert the primary PCI centre for direct transfer.

Answer

Give thrombolysis on scene and transport to the nearest emergency department.

Answer

Withhold aspirin until a troponin result is confirmed.

Answer

Transport to the nearest emergency department for a repeat ECG before deciding on any reperfusion.

Answer

Give aspirin 75 mg and arrange a routine cardiology referral.

ST-elevation myocardial infarction — DIPIMC MCQ

A 58-year-old has had central crushing chest pain for one hour and is diaphoretic. A 12-lead ECG shows ST elevation in the anterior leads. A primary percutaneous coronary intervention centre is 20 minutes away.