Recommendations:
1.	Patients often misperceive their initial symptoms as non-cardiac in origin. So spreading awareness about early recognition of symptoms suggestive of STEMI/ACS by patients or their relatives through intensive public education campaigns via print and non-print media (i.e. television, internet and social networking sites) is important.
2.	It is essential to restructure EMS services in India so that timely transfer to appropriate hospitals can be organized. These can include increasing the number of ambulance networks, “Green Corridors” to allow passage of ambulances and educating the general public for giving priority passage to ambulances.
3.	Immediate ECG to confirm the diagnosis of STEMI and administration of Aspirin at the point of FMC either at the level of EMS personnel or the General Practitioner.
4.	Hospital transfer protocols need to be pre-decided and receiving hospitals should have systems to allow preregistration and direct transport to the catheterization laboratory bypassing the ED especially for patients who do not need urgent resuscitation on arrival.