[…] The American College of Emergency Physicians in 2015 did update their guidelines and did so where “There were no relevant industry relationships disclosed by the subcommittee members” which is very different than most other groups. They were not able to make any Level A recommendations but did make Level B and C recommendations. This matters for a number of reasons but ultimately they talked about how tPA “should be offered and may be given” to select patients within three (3) hours of symptom onset and that “tPA may be offered and may be given to carefully selected patients” within 3 to 4.5 hours after symptom onset in appropriate centers. In both cases, shared decision making is encouraged when feasible. The reason why this matters is that the liberal language allows for more careful consideration based on the complex nature of this disease process to help tailor care to individual patients. […]
One Response to “ACEP Board Approves tPA Clinical Policy”
April 10, 2018
Podcast #90 - Indefinite Evidence and Biased Reporting « FOAM EMS[…] The American College of Emergency Physicians in 2015 did update their guidelines and did so where “There were no relevant industry relationships disclosed by the subcommittee members” which is very different than most other groups. They were not able to make any Level A recommendations but did make Level B and C recommendations. This matters for a number of reasons but ultimately they talked about how tPA “should be offered and may be given” to select patients within three (3) hours of symptom onset and that “tPA may be offered and may be given to carefully selected patients” within 3 to 4.5 hours after symptom onset in appropriate centers. In both cases, shared decision making is encouraged when feasible. The reason why this matters is that the liberal language allows for more careful consideration based on the complex nature of this disease process to help tailor care to individual patients. […]