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re: RE: an ER in NBR - It appears the numbers are finally coming to light...
Posted on 6/13/16 at 4:22 pm to LSU alum wannabe
Posted on 6/13/16 at 4:22 pm to LSU alum wannabe
I'm at a tertiary center and our number of tPA transfers have gone way up in the past year or so. Most given at rural-ish EDs where they don't really know what they're doing and the complication rate is much higher than at a proper stroke center. I wish they'd CT and GTFO (even the CT is probably not necessary as we usually repeat it).
1
Posted on 6/13/16 at 4:31 pm to Parallax
quote:
I'm at a tertiary center and our number of tPA transfers have gone way up in the past year or so. Most given at rural-ish EDs where they don't really know what they're doing and the complication rate is much higher than at a proper stroke center. I wish they'd CT and GTFO (even the CT is probably not necessary as we usually repeat it).
There has definitely been a shift to include all stroke patients in the tPA window. Saw a dude last year with facial TINGLING for an hour. Not droop? No deficits. They were considering tPA. Lunacy. He was hypertensive as well with a headache working for days.
This is a dude walking talking and drove himself there? His CT is negative, but for all you know he is getting Bells Palsy? Go from walking to brain bleed or GI bleed.
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