I suspect the actual effect on the overall mortality rate of the population
will be very small, if even measurable, while the case fatality rate in A&E
departments will rise. Most infarcts come nowhere near CCU and A&E resus,
and do not receive thrombolysis. It seems we are busting a gut and spending
a lot of money, for something of questionable population benefit.
Adrian Boyle
Message-----
> From: The list will be of relevance to all trainees including
> undergraduates and [mailto:[log in to unmask]]On Behalf Of
> Robbie Coull
> Sent: Tuesday, February 20, 2001 7:45 PM
> To: [log in to unmask]
> Subject: Re: NHS Direct (was Anaesthetic mishap)
>
>
> > Actually, if you get everyone who has an MI into hospital very
> quickly, you
> > will get the 35% of people who die within 30 minutes of the onset of
> > symptoms. Most of this group are "unsalvageable" since they
> have blocked off
> > their left main stem. As a result, the mortality will actually
> worsen the
> > quicker you get people to hospital.
>
> Er...no, Adrian. The mortality will drop because some of the
> extra ones you
> see will be salvageable, whereas if they had still been at home taking
> Rennies in front of Who Wants to be a Millionaire, none of them would be.
>
> YOUR mortality rate will rise, but the patients mortality rate will fall
> (remember, it is the patient that's supposed to be sick).
>
> Robbie Coull
>
> email: [log in to unmask] website: http://www.coull.net
>
>
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