A 58-year-old man develops central crushing chest pain while at home. The ambulance crew obtain a 12-lead ECG showing ST elevation in leads II, III an...

Question

A 58-year-old man develops central crushing chest pain while at home. The ambulance crew obtain a 12-lead ECG showing ST elevation in leads II, III and aVF. He has no contraindications to antiplatelets. What is the single most important immediate pharmacological intervention in the pre-hospital setting?

Accepted Answer

Administer 300 mg chewable Aspirin

Answer

Give 10 mg Morphine intravenously

Answer

Start an intravenous Heparin infusion

Answer

Give sublingual Glyceryl Trinitrate spray only

Answer

Administer high-flow oxygen via non-rebreathe mask regardless of saturation

uk-plab-1 MCQ (SBA): ST-elevation myocardial infarction