This is certainly not a very good CME. Not one word on the appalling full tPA efficacy rate of 12% or the fact that this doesn't address the neuronal cascade of death at all. No wonder stroke survivors are screwed. Even supposedly the best doctors don't even talk about any of the problems in stroke. Naked emperor and all.
http://opencme.org/sites/opencme.org/medical/180200178/index.php?
When you see the exclusion criteria on slide 6 you realize you practically have to be the perfect candidate to get tPA. Survivors are almost never perfect candidates, if they were they likely wouldn't be having a stroke in the first place. With that mindset it is obvious why we haven't found a better replacement for tPA. This just continues to prove that the current stroke medical leadership should have no say in how a stroke strategy is created and followed.
Slide 21 discusses door-to-needle time and never mentions delivering it prior to the door or any way to achieve that. No focus on a BHAG (Big Hairy Audacious Goal).
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