These people have no idea of the best way to get faster times to the failure of tPAs 12% efficacy rate.
Its very simple , you eliminate the scan and neurologist and go straight to one of these 17 objective ways
These people may have medical degrees but they can't get out of a paper bag.
GAH!!! Everyone that has a stroke is screwed until we manage to eliminate the complete stroke medical establishment and start over from scratch.
http://www.medpagetoday.com/Cardiology/Strokes/45199?
The three strategies most strongly associated with reduced times to treatment with tissue plasminogen activator (tPA) in acute ischemic stroke are used at relatively low rates, a survey showed.
Rapid triage and stroke team activation (which saved an average of 8.1 minutes),
a single-call activation system (4.3 minutes saved), and storage of tPA
in the emergency department (3.5 minutes saved) were the most
successful measures taken to reduce the time from hospital arrival to
initiation of treatment, according to Gregg Fonarow, MD, of the University of California Los Angeles, and colleagues.
However,
only about two-thirds of the centers surveyed used these strategies,
and other strategies that were less helpful in reducing door-to-needle
times were used more frequently, the researchers reported online in Stroke: Journal of the American Heart Association.
But
the potential impact of the using all 11 of the strategies examined in
the study was illustrated by the finding that each additional measure
taken by a medical center was associated with an average of 1.3 minutes
shaved off the door-to-needle time (P=0.01)
more at link. Head meet desk, please pad one or the other.
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