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The question
A 56-year-old farmer reaches a community health centre in rural Rajasthan 2 hours after the onset of crushing chest pain. ECG shows 3 mm ST elevation in V1-V4. The nearest PCI-capable hospital is 4 hours away by road, and he has no contraindication to fibrinolysis. He has received aspirin and clopidogrel. What is the next best step?
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