Question

A 58-year-old man presents with 2 hours of central crushing chest pain radiating to the left arm, associated with sweating and nausea. His ECG shows ST elevation in leads II, III and aVF. What is the single most appropriate immediate management step in the emergency department?

Accepted Answer

Activate the primary PCI pathway and give appropriate antiplatelet therapy

Answer

Arrange elective cardiology outpatient follow-up

Answer

Give oral beta-blocker and send him home

Answer

Start high-flow oxygen for all patients regardless of saturation

Answer

Give a stat dose of Warfarin

Practice question

A 58-year-old man presents with 2 hours of central crushing chest pain radiating to the left arm, associated with sweating and nausea. His ECG shows ST elevation in leads II, III and aVF. What is the single most appropriate immediate management step in the emergency department?