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Is prehospital thrombolysis for acute myocardial infarction warranted in the urban setting? The case against
Ist Teil von
Emergency medicine journal : EMJ, 2002-09, Vol.19 (5), p.444-447
Ort / Verlag
England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
Erscheinungsjahr
2002
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
This paper forms the second part of the debate on prehospital thrombolysis (PHT). It is argued that large scale studies have failed to show a benefit for PHT, even when the time saved over conventional treatment was considerably greater than would be the case in the UK urban setting. In practice, a relatively small proportion of the total population receiving thrombolysis would receive PHT. Other strategies to reduce time to thrombolysis can benefit all patients and are likely to be more cost effective and safer.