Pre-hospital thrombolysis: end of an era?
Saturday, May 5, 2012
For much of the last 20 years thrombolysis has been the preferred initial treatment for ST segment elevation myocardial infarction (STEMI). This treatment was originally given in hospital but was later used extensively and successfully before hospital admission. Primary percutaneous coronary intervention (PPCI) has proved itself to be more efficacious than thrombolysis, if it can be delivered within two hours, despite the extra time it takes to take patients to a Heart Attack Centre. Giving thrombolysis prior to the PPCI does not buy time safely. Prehospital thrombolysis still has a role when events long journies prevent timely access to the catheter laboratory.
Subscribe to get full access to the Journal of Paramedic Practice
Thank you for vising the Journal of Paramedic Practice and reading our archive of expert clinical content. If you would like to read more from the only journal dedicated to those working in emergency care, you can start your subscription today for just £48.
Reading the Journal of Paramedic Practice counts towards your professional development
Develop your career
We provide professional information dedicated to paramedics covering training, education and jobs
Get the latest clinical information to ensure you are aware of the latest think and best practice in paramedicne
Already registered? - Sign in here