> Currently at patient no 36 I think. Basic protocol is TNKase or placebo is
> the first drug administed on obtaining IV access and resus continues for a
> minimum of 10 minutes post drugs. So far I understand a significant
> difference between the groups - but outside a large multi-centre trial I
> dont think we will ever get the real numbers we need to say for sure.
Any survivors? Some how or other I doubt it.
Danny McGeehan
>
> Craig
>
>
>
>
>
>
> >Wrom: VRESKPNKMBIPBARHDMNNSKVFVWRKJVZ
> >Reply-To: Accident and Emergency Academic List <[log in to unmask]>
> >To: [log in to unmask]
> >Subject: Lysis in the treatment of Cardiac Arrest
> >Date: Sat, 19 Oct 2002 13:37:54 -0400
> >
> >OK - I know you are gonna say - 'Mike's lost it at last!' but here's a
> >thought...
> >cardiac arrest is often dues to coronary thrombus/plaque rupture.
> >There are other causes - the 4 H's and the 4 T's.
> >
> >Of these most can be identified and treated in the field. Those which are
> >difficult to ID are events such as aortic rupture and so on, which have an
> >extremly poor progostic outcome anyway.
> >
> >So. If a paramedic is able to rule out the majority of the reasons for
> >cardiac arrest -trauma, OD, hypothermia etc then what remains is cardiac in
> >origin - yes?
> >Therefore why should we not consider fibrinolysis as part of our treatment
> >protocol for cardiac arrest? I know what you are going to say - CPR and
> >lysis - bad move, but is it?
> >
> >Any thoughts
> >Mike
>
>
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