Is the pain relevant?, if you have clear evidence of MI, and no known reason
not to thrombolyse, then why treat patients differently. How quick were they
into the CAT Scan is will adversely effect the outcome from pain to needle
times and the longer the myocardium is deoxygenated an intact brain is not
going to help.
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of mark nicol
Sent: 02 February 2005 18:27
To: [log in to unmask]
Subject: thrombolysis
we have had two adult men in their forties presenting with an output post
cardiac arrest with ECG evidence pre arrest of MI; both arrests were
witnessed. Both had cardiac sounding pain pre arrest.They were both still
unconscious post arrest and intubated by paramedics. After CT scan, to rule
out ICHaemorhage one was thrombolysed and one was not.The feeling was that
they both should have been thrombolysed.Neither arrest patient had prolonged
CPR to the point of causing broken ribs.In fact both were rapidly
defibrillated.
would you have thrombolysed??
mark at macclesfield
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