ANN ARBOR, MI — May 21, 2002 —
Emergency room physicians can deliver clot-busting drugs to appropriate stroke patients as quickly and safely as dedicated stroke teams, if they follow guidelines set by national organizations, a new study finds.
That means the closest ER may be the best one when a stroke strikes – but only if the ER team is prepared to give special thrombolytic drugs called tissue plasminogen activators, or
tPA, that can break up a clot and cut the risk of brain damage.
The study also shows too many minutes are lost between the time a stroke hits and the time a stroke victim reaches the ER.
That delay reduces the number of patients eligible for tPA, which should only be delivered in the first three hours after a stroke occurs. More education of both the public and ER teams could help reduce delays and increase the chance that patients will get tPA.
These findings, from a four-hospital retrospective study of tPA treatment for ischemic stroke led by researchers from the University of Michigan Health System, will be presented May 20
at the annual meeting of the Society for Academic Emergency Medicine in St. Louis, MO.
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