Introduction
Title
Learning Objectives
Why Do We Care About Remote and Rural Cases?
What is Remote and Rural?
Scotland Remote and Rural Demographics
Who Lives Remote and Rurally?
Case
Mr MacKay 1
Mr MacKay 2
Likely Diagnosis?
Differential
MI Epidemiology
Symptoms
Diagnosis
High Sensitivity Troponin
What Investigations are we Able to do for Mr Mackay in a Rural GP Practice?
ECGs
ECG 2
ECG 3
Mr MacKay's ECG
Mr MacKay's ECG 2
Gold Standard Management - NICE Guidelines
PCI
Thrombolysis
Contraindications to Thrombolysis
PCI or Thrombolysis?
Immediate Management in Rural GP Practice
Travel Options
Ambulance or Helicopter?
Complications of MI
Social Factors
Resources and Feedback
Resources
Feedback
Management of the Medical Patient in Remote & Rural Location
Differential
Can you think of 5 potential differential diagnoses?
-
ST elevation MI (STEMI)
Non-ST elevation MI (N-STEMI)
Heartburn
Unstable angina
Aortic dissection
Pulmonary embolism
Pneumothorax
Pericarditis / Myocarditis
BMJ ST-Elevation Myocardial Infarction