If your having cardiac patients (with MI's) having a professional come see them at home, but unable to transport due to logistical reasons can LAS thrombolise MI patients before scooping I wonder? Whilst your normally not far from a hospital with cardiac care facilities presumably you could be waiting long time on scene for backup/have to push through traffic slowing you right down. I live in a rural area, and spent time recently in a cardiac care suite, The ambo bods here are becoming quite happy to pump blood clot busting drugs into patients after electronicly sending us the ECG for approval. The hospital is also an hour (at a rush) from the nearest catheter lab, which could mean allmost an hour to us, followed by an hour to the hospital with cath lab facilities.