This is so goddamned easy to explain. Just because you are delivering tPA marginally faster doesn't mean it works better. You have done nothing to understand the 12% of tPA patients that fully recover and duplicate that. And nothing has been done on stopping the neuronal cascade of death by these 5 causes in the first week.
http://www.medpagetoday.com/Cardiology/Prevention/59258?xid=nl_mpt_cardiodaily_2016-07-22&eun=g424561d0r
Ischemic stroke patients who received
IV thrombolysis on the way to the hospital in a specialized ambulance
kitted out with a CT scanner did not have a better chance of returning home without functional disability at 3 months than did those who got the same treatment at the hospital after usual transport.
So found a study from Berlin, where the system has been rolled out.
But the researchers noted secondary findings suggestive "that
pre-hospital start of intravenous thrombolysis might lead to improved
functional outcome in patients."
"This evidence requires substantiation in future large-scale trials," they wrote in Lancet Neurology.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,294 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
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