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Emergency Medicine Journal 2002;19:378; doi:10.1136/emj.19.5.378-a
© 2002 BMJ Publishing Group Ltd and the College of Emergency Medicine.
Emerg Med J 2002; 19:378
© 2002 the Emergency Medicine Journal

Primary Survey

Jim Wardrope, Pete Driscoll, Joint Editors

The first 150 words of the full text of this article appear below.

PREHOSPITAL THROMBOLYSIS: A DEBATE

Every one agrees time to thrombolysis for acute myocardial infarction should be reduced to a minimum. It therefore seems logical that prehospital administration should be a way to achieve this objective. This is certainly a strong message from the UK Department of Health. The evidence for this treatment is reviewed in two papers in this issue. As in any debate, the advocates argue their case from opposing viewpoints to stimulate discussion. However, it seems that we do not have any high level evidence for this intervention, in this population, in this setting. The debate is timely as the National Institute for Clinical Excellence is to issue a consultation on this matter in the near future. Your views are welcome. Please email responses via the journal web site (www.emjoline.com).

See pages 441, 444

FACILITIES FOR CHEMICAL DECONTAMINATION IN A&E DEPARTMENTS IN THE UK ARE INADEQUATE

Rapid intervention is crucial to limit damage by chemicals and poisons. We have audited decontamination . . . [Full text of this article]


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