Logo

Log In Sign Up |  An official publication of: American College of Emergency Physicians
Navigation
  • Home
  • Multimedia
    • Podcasts
    • Videos
  • Clinical
    • Airway Managment
    • Case Reports
    • Critical Care
    • Guidelines
    • Imaging & Ultrasound
    • Pain & Palliative Care
    • Pediatrics
    • Resuscitation
    • Trauma & Injury
  • Resource Centers
    • mTBI Resource Center
  • Career
    • Practice Management
      • Benchmarking
      • Reimbursement & Coding
      • Care Team
      • Legal
      • Operations
      • Quality & Safety
    • Awards
    • Certification
    • Compensation
    • Early Career
    • Education
    • Leadership
    • Profiles
    • Retirement
    • Work-Life Balance
  • Columns
    • ACEP4U
    • Airway
    • Benchmarking
    • Brief19
    • By the Numbers
    • Coding Wizard
    • EM Cases
    • End of the Rainbow
    • Equity Equation
    • FACEPs in the Crowd
    • Forensic Facts
    • From the College
    • Images in EM
    • Kids Korner
    • Medicolegal Mind
    • Opinion
      • Break Room
      • New Spin
      • Pro-Con
    • Pearls From EM Literature
    • Policy Rx
    • Practice Changers
    • Problem Solvers
    • Residency Spotlight
    • Resident Voice
    • Skeptics’ Guide to Emergency Medicine
    • Sound Advice
    • Special OPs
    • Toxicology Q&A
    • WorldTravelERs
  • Resources
    • ACEP.org
    • ACEP Knowledge Quiz
    • Issue Archives
    • CME Now
    • Annual Scientific Assembly
      • ACEP14
      • ACEP15
      • ACEP16
      • ACEP17
      • ACEP18
      • ACEP19
    • Annals of Emergency Medicine
    • JACEP Open
    • Emergency Medicine Foundation
  • About
    • Our Mission
    • Medical Editor in Chief
    • Editorial Advisory Board
    • Awards
    • Authors
    • Article Submission
    • Contact Us
    • Advertise
    • Subscribe
    • Privacy Policy
    • Copyright Information

Clinical Policy on tPA for Ischemic Stroke Important for Emergency Medicine

By ACEP Now | on March 7, 2014 | 0 Comment
Opinion
  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

Revising the use of thrombolytics in ischemic stroke could reverse nationally accepted practices, guidelines in the ED

You Might Also Like
  • ACEP to Reconsider Clinical Policy on Use of Intravenous tPA to Manage Acute Ischemic Stroke in the ED
  • Comment Period for tPA Clinical Policy Closing Soon
  • ACEP Board Approves tPA Clinical Policy
Explore This Issue
ACEP Now: Vol 33 – No 03 – March 2014

This [Up for Reconsideration: Clinical Policy on IV tPA for Ischemic Stroke] is actually, really, a very important issue. Revisiting the issue of the use of thrombolytics in ischemic stroke has the potential of setting the EM industry on its head as regards stroke networks. The Joint Commission now requires that hospitals that are “stroke centers” treat 50% of eligible candidates with ischemic stroke within one hour of arrival!! This is policy set in place across the nation.

How odd, then, will it be if, when we revisit this, we end up reversing a policy that is accepted nationally and drives a vast amount of commerce in this country and around the world? This is going to be a very hot topic, one that we will all be attuned to with bended ear.

Thus, this is a very important subject, and exceedingly timely. I respectfully suggest that you do an updated mail-out to the membership of ACEP which provides the link. There are thousands of us across the nation with the “need to know.”

Again, thank you for your time.

—Raymond L. Fowler, MD, FACEP, DABEMS
Dallas, Texas

Topics: Clinical GuidelineCritical CareEmergency DepartmentEmergency MedicineEmergency PhysicianProcedures and SkillsStroke

Related

  • 10 Essentials for Your Emergency Department Fanny Pack

    June 17, 2025 - 0 Comment
  • EM Runs in the Family

    February 26, 2025 - 0 Comment
  • Navigating Strict State Abortion Laws

    January 5, 2025 - 1 Comment

Current Issue

ACEP Now: June 2025 (Digital)

Read More

About the Author

ACEP Now

View this author's posts »

No Responses to “Clinical Policy on tPA for Ischemic Stroke Important for Emergency Medicine”

Leave a Reply Cancel Reply

Your email address will not be published. Required fields are marked *


*
*

Wiley
  • Home
  • About Us
  • Contact Us
  • Privacy
  • Terms of Use
  • Advertise
  • Cookie Preferences
Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 2333-2603