The case for urban prehospital thrombolysis.
نویسنده
چکیده
This is the first part in a debate on the benefits and disadvantages of urban prehospital thrombolysis. I put the case for prehospital thrombolysis in the urban environment and argue that it is a rational development that will save lives and reduce long term morbidity.
منابع مشابه
Is prehospital thrombolysis for acute myocardial infarction warranted in the urban setting? The case against.
This paper forms the second part of the debate on prehospital thrombolysis (PHT). It is argued that large scale studies have failed to show a benefit for PHT, even when the time saved over conventional treatment was considerably greater than would be the case in the UK urban setting. In practice, a relatively small proportion of the total population receiving thrombolysis would receive PHT. Oth...
متن کاملPERSONAL VIEW Is prehospital thrombolysis for acute myocardial infarction warranted in the urban setting? The case against
This paper forms the second part of the debate on prehospital thrombolysis (PHT). It is argued that large scale studies have failed to show a benefit for PHT, even when the time saved over conventional treatment was considerably greater than would be the case in the UK urban setting. In practice, a relatively small proportion of the total population receiving thrombolysis would receive PHT. Oth...
متن کاملProspective observational cohort study of time saved by prehospital thrombolysis for ST elevation myocardial infarction delivered by paramedics.
OBJECTIVES To evaluate a system of prehospital thrombolysis, delivered by paramedics, in meeting the national service framework's targets for the management of acute myocardial infarction. DESIGN Prospective observational cohort study comparing patients with suspected acute myocardial infarction considered for thrombolysis in the prehospital environment with patients treated in hospital. SE...
متن کاملRelevance of prehospital stroke code activation for acute treatment measures in stroke care: a review.
BACKGROUND The use of emergency services with prehospital stroke assessment and early notification to the treatment hospital (stroke code) is a crucial determinant of delay time for acute stroke treatment. We reviewed and summarized the literature on prehospital stroke code system implementation. METHODS Two databases were explored (last update June 20, 2011) with 3 key words (stroke code, st...
متن کاملPrehospital Thrombolysis: It’s All About Time
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 strat...
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عنوان ژورنال:
- Emergency medicine journal : EMJ
دوره 19 5 شماره
صفحات -
تاریخ انتشار 2002