It’s true that sometimes critical care transport missions to transport STEMI patients to PCI are fairly uneventful.  But if we allow ourselves to get lulled into a “Milk Run” mindset, it will most definitely come back to bite us.  The jovial, normotensive, fairly comfortable-appearing STEMI patient may be only a couple of minutes away from V Fib arrest or florid cardiogenic shock.  When that occurs, if we have expected and prepared for such a complication, it’s likely that we’ll be able to manage it successfully.