> I am a paramedic completing an M.Sc Cardiology and am writing a 20K
> dissetation on the viability of prehospital thrombolysis. If I can
> prove/disprove the average door to needle time is less than 30 minutes then
> I can make conclusions based upon EBM. Although your own and other depts
> stats are good to have I really need national stats on this.
>
> Until I get evidence to the contrary I believe the conclusions to my
> dissertation will be something like...
> 1. PTCA will be more appropriate with those hospitals that have this
> facility available
> 2. Nurse led thrombolytic units in hosptial where this is not available
> 3. Prehospital thrombolysis by a selected number of personnel where the time
> is extended
Mike,
See Adam Timmis' BMJ editorial this week.
Also, having a facility 'available' is different from having instant
access 24 hours a day. Very few hospitals in the UK (even the
cardiac centers) actually have instant acess to PTCA 24 hours a
day.
Tim.
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