Electronic Letters to:
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eLetters: Electronic letters published:
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Bringing pre-hospital thrombolysis closer to hospital practice
- Tom Quinn (1 August 2006)
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Tom Quinn, Professor Applied Research Group in Emergency Cardiovascular Care, Coventry University
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t.quinn{at}coventry.ac.uk Tom Quinn
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Dear Editor, I congratulate Hanson and Williamson on their excellent paper [1]. Their well-founded concerns about differences between pre- and in-hospital criteria for thrombolysis, confirming similar concerns raised in an earlier EMJ paper by Castle and colleagues [2] have to a large extent been addressed in modifications to the JRCALC criteria notified to NHS ambulance services in England late last year [3]. One wonders whether we are nearing a time when patients who do not fulfil eligibility criteria for pre-hospital thrombolysis will by default be referred to an interventional facility in line with international guidance [4]. Tom Quinn [1] Hanson TC, Williamson D Identifying barriers to prehospital thrombolysis in the treatment of acute myocardial infarction. Emerg Med J. 2006;23:650-653 [2]Castle N et al What percentages of patients are suitable for prehospital thrombolysis? Emerg Med J. 2006;23:444-5. [3] http://www.asancep.org.uk/JRCALC%20update%20December%202005.pdf [4] Silber S et al Guidelines for percutaneous coronary interventions. The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology. Eur Heart J. 2005;26:804-47 |
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