----- Original Message -----
From: "s.carley"
Subject: Re: catecholamine dilemma - follow up
> The nursing staff had drawn up tPA for the patient and were about to go
> ahead when the Med Reg walked into resus (to see another patient). He is a
> helpful soul and the SHO asked him to check the ECG. He duly did, agreed
the
> diagnosis but said that tPA was contraindicated for inferior MIs and that
> the patient should be given Strep instead. The tPA was discarded.
Bizarre, what planet was this Med Reg on? I suppose this is a typical
response when you get an in-house physician to practise emergency medicine
once a week; they will get to thrombolyse once a month at the most.
AF
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