Another ENLS topic: Ischemic Stroke. But not the entire subject, and not even whether we should give tPA to stroke patients. Why not the latter topic–because I am not smart enough to know the answer. For that listen to David and Ashley and make your own decision. What we will talk about today is reducing door to tPA time.
There was a recently published study that gave an excellent description of one center's interventions to get their door to tPA time down to a ridiculously low level.
Here are the interventions they used:
The American Heart/Stroke Associations also have some resources on reducing door to tPA time.
The EMCrit Checklist
Here is the checklist of my interventions to reduce door-to-tPA-time:
EMCrit Art Contest
What do you think about consent for tPA or anything else we spoke about today–leave a comment. Now on to the podcast…
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 244 – Incredibly Important Wrinkles to Titrated Vasopressors during CPR in Cardiac Arrest - April 15, 2019
- EMCrit Podcast 243 – The COACT Trial on Early vs. Delayed Cath after Cardiac Arrest without STEMI - March 31, 2019
- EMCrit Podcast 242 – ED Nephrology with Joel Topf aka KidneyBoy - March 9, 2019