Prehospital thrombolysis.
نویسنده
چکیده
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منابع مشابه
Prehospital Thrombolysis: It’s All About Time
Prehospital emergency care personnel can play a crucial role in the identification and management of patients presenting with ST Elevation Myocardial Infarction (STEMI). Specifically, prehospital thrombolysis by emergency medical personnel such as paramedics/nurses/prehospital doctors has been identified as being a successful and safe approach for the provision of accelerating reperfusion strat...
متن کاملCost-effectiveness of prehospital versus inhospital thrombolysis in acute myocardial infarction.
BACKGROUND There is evidence that prehospital thrombolysis improves the outcome in ST-elevation myocardial infarction (STEMI). OBJECTIVE This study aimed at comparing the cost-effectiveness of prehospital compared to inhospital thrombolysis for STEMI from the National Health System perspective. METHODS A decision-analytic model was used to compare these two strategies. The study endpoint wa...
متن کاملThe case for urban prehospital thrombolysis.
This is the first part in a debate on the benefits and disadvantages of urban prehospital thrombolysis. I put the case for prehospital thrombolysis in the urban environment and argue that it is a rational development that will save lives and reduce long term morbidity.
متن کاملPrehospital thrombolysis: lessons from Sweden and their application to the United Kingdom.
OBJECTIVE To study the successful implementation of paramedic administered prehospital thrombolysis in Sweden, and to consider the implications of this for the UK. METHODS A series of research visits were undertaken, including visits to Uppsala Hospital and dispatch centre, ambulance stations in several counties of Sweden and Dalarna County, which has one of the longest experiences of telemed...
متن کاملMortality and prehospital thrombolysis for acute myocardial infarction: A meta-analysis.
CONTEXT Early administration of thrombolysis for acute myocardial infarction (AMI) may improve survival if safely and appropriately delivered. No systematic reviews that have comprehensively examined this topic exist in the literature. OBJECTIVE To perform a meta-analysis of randomized controlled trials of prehospital vs in-hospital thrombolysis for AMI measuring in-hospital mortality. DATA...
متن کاملSafety and feasibility of prehospital thrombolysis carried out by paramedics.
The benefits of thrombolysis in patients with acute myocardial infarction are time dependent, with a potential 48% reduction in mortality if treatment is received within an hour of onset of symptoms. The benefits diminish thereafter. However the “call to needle” standard set by the national service framework has been achieved for only a third of patients nationally because of lengthy ambulance ...
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عنوان ژورنال:
- BMJ
دوره 327 7405 شماره
صفحات -
تاریخ انتشار 2003