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.
No comments:
Post a Comment