Question

A 58-year-old man with chest pain presents to a very remote clinic with only basic equipment. ECG shows ST-elevation MI. There is no onsite PCI or thrombolysis; the nearest hospital with these services is several hundred kilometres away. What is the MOST appropriate action?

Accepted Answer

Arrange urgent aeromedical retrieval via RFDS and begin guideline-directed initial therapy

Answer

Manage with aspirin only and observe overnight

Answer

Wait until morning to arrange transfer when transport is cheaper

Answer

Attempt thrombolysis with non-cardiac drugs

Answer

Discharge home with analgesia

Practice question

A 58-year-old man with chest pain presents to a very remote clinic with only basic equipment. ECG shows ST-elevation MI. There is no onsite PCI or thrombolysis; the nearest hospital with these services is several hundred kilometres away. What is the MOST appropriate action?