Prehospital Thrombolysis: It’s All About Time
نویسنده
چکیده
Prehospital emergency care personnel can play a crucial role in the identification and management of patients presenting with ST Elevation Myocardial Infarction (STEMI). Specifically, prehospital thrombolysis by emergency medical personnel such as paramedics/nurses/prehospital doctors has been identified as being a successful and safe approach for the provision of accelerating reperfusion strategies for acute STEMI. Moreover, prehospital thrombolysis has no added specific risks (arguably, it is safer as delayed thrombolysis increases the risk of myocardial rupture) as compared to inhospital thrombolysis; nor is it an obstacle for later percutaneous coronary intervention (PCI). This chapter will focus on the general management of STEMI, the potential benefits related to prehospital thrombolysis and alternative, adjunctive therapies and provide some useful hints to drug administration.
منابع مشابه
Mortality and prehospital thrombolysis for acute myocardial infarction: A meta-analysis.
CONTEXT Early administration of thrombolysis for acute myocardial infarction (AMI) may improve survival if safely and appropriately delivered. No systematic reviews that have comprehensively examined this topic exist in the literature. OBJECTIVE To perform a meta-analysis of randomized controlled trials of prehospital vs in-hospital thrombolysis for AMI measuring in-hospital mortality. DATA...
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