A remote nursing station in northern Canada receives a 64-year-old man with chest pain and ECG-confirmed STEMI. The nearest PCI centre is 6 hours away...

Question

A remote nursing station in northern Canada receives a 64-year-old man with chest pain and ECG-confirmed STEMI. The nearest PCI centre is 6 hours away by air due to weather. How should the rural team proceed?

Accepted Answer

Administer fibrinolytic therapy promptly and coordinate transfer for possible rescue PCI

Answer

Wait for PCI transfer even if reperfusion is delayed

Answer

Provide acetaminophen for pain and watchful waiting

Answer

Discharge if pain settles on its own

Answer

Avoid remote thrombolysis due to lack of PCI backup

ca-mccqe1 MCQ (SBA): STEMI in rural/remote setting

A remote nursing station in northern Canada receives a 64-year-old man with chest pain and ECG-confirmed STEMI. The nearest PCI centre is 6 hours away by air due to weather. How should the rural team proceed?