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

Recommendation to Update tPA Policy Approved by ACEP Board

By Stephen Cantrill, MD, FACEP | on July 8, 2014 | 0 Comment
Uncategorized
  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version
Stroke

In response to amended Resolution 32 from the 2013 Council meeting, the ACEP Board of Directors instructed the Clinical Policies Committee to review the tPA for acute ischemic stroke policy, distribute the policy for 60 days of comments by the membership, conduct an updated literature search, and provide a recommendation to the Board regarding reconsideration of the policy.

You Might Also Like
  • ACEP Board Approves tPA Clinical Policy
  • 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

The tPA policy was posted on the ACEP web site for a 60-day open comment period and notices were sent to the membership and chapters by multiple communication methods. A Clinical Policies tPA Subcommittee was formed, consisting of four committee members and the committee methodologist. All subcommittee members were vetted by an enhanced conflict of interest questionnaire.

The subcommittee conducted an updated literature search for articles since 2011. This yielded 1,124 candidate articles, which were reviewed. One hundred and thirty-six articles were considered appropriate for grading; each article was graded by two subcommittee members, with any grading differences being resolved by the methodologist. The Class I and Class II articles from the original tPA policy were also re-graded. All open comments (77 pages worth) were carefully reviewed and any evidence noted, resulting in the addition of seven articles: six graded as Class X and one graded as Class II.

Multiple subcommittee conference calls were conducted and the results were presented to the full Clinical Policies Committee at a face-to-face meeting on June 10, 2014. After four hours of discussion, the committee voted in favor of recommending an immediate update of the tPA policy, to be done by the Clinical Policies Committee, to the ACEP Board of Directors. This recommendation was presented to the Board on June 25, 2014, and approved.


Dr. Cantrill is an emergency physician and consultant at Denver Health Medical Center where he previously served as associate director of the department of emergency medicine for 18 years.  He is the interim chair of the Clinical Policies Committee.

Topics: ACEPAmerican College of Emergency PhysiciansClinical GuidelineCritical CareEmergency MedicineProcedures and SkillsStrokeThrombolyticstPA

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

No Responses to “Recommendation to Update tPA Policy Approved by ACEP Board”

Leave a Reply Cancel Reply

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


*
*


Current Issue

ACEP Now: June 2025 (Digital)

Read More

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