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It will another a few years before the EMTs in India get to a level where they can administer thrombolytics in the ambulance. The current level of training does not include this level of decision making.

Placing an ECG machine, a defibrillator, a chart showing MI and arrhythmia management protocols with a stock of streptokinase in the primary health centres in our villages is the best thing that can happen to 'Rural Acute Coronary Syndrome Management'!