MCC VaultPractice questions › Medicine › Chest pain and acute coronary syndromes
Chest pain and acute coronary syndromes
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
Paramedics see a 63-year-old man with 1 hour of chest pain and record ST elevation in V1 to V4. The nearest community hospital is 10 minutes away and has no cath lab. A PCI centre is 45 minutes away by road. What should the paramedics do?
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The answer is C: Bypass the community hospital and go to the PCI centre.
Canadian STEMI systems let paramedics transmit the ECG and take patients straight to a PCI centre when it can be reached within the 120-minute window. Stopping at a hospital without a cath lab wastes time, and fibrinolysis is only needed when PCI cannot happen in time.
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