I can give you an Aussie perspective
we have a very keen group of neurologists
involved in multicenter thrombolysis trials.
An acute stroke neurology on call roster at consultant level
they use the stroke research nurses to be on call
and they attend the ed for any patients who may be suitable for thrombolysis ( 24/7)
( they can be called direct from triage and often see patients before any doctors )
the ambulance has a bypass protocol to the tertiary referral hospital for acute stroke ? thrombolysis
but they have to contact the on call neurologist on scene to authorise the bypass .( to stop the ED from being swamped )
CT ( perfustion scans ) are usually rapidly avalible
despite all this they dont get many , I think about 10-15 a year ( for a catchment of 500000 people and total ED attendances of > 100000 for all local hospitals )
contact me off list if you want any of the protocols
regards
Andy Stearman
John Hunter ED
NSW
>>> Chris Kirke <[log in to unmask]> 14/11/2007 5:16 am >>>
We are in the early stages of planning to introduce thromblysis for stroke
in my trust. Does anyone on the list have experience with this, or know who
does? (I think Steve Meek said last year that his hospital thrombolysed
strokes.)
Regards
Chris Kirke
Whiston ED, Merseyside
|