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Improving door to needle times with nurse initiated thrombolysis
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  • Published on:
    Re: Improving door to needle time – time to train ALL staff

    Dear Editor:

    We agree with Dr Hirschfield that training of doctors is important, but it must not take precedent over the interests of patients. We could not continue to delay thrombolysis to patients with myocardial infarction and thereby increase their mortality rate, so that junior doctors could have the experience of making a late decision. It may be embarassing for junior doctors for us to point out that th...

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    Conflict of Interest:
    None declared.
  • Published on:
    Improving door to needle time – time to train ALL staff

    Dear Editor:

    Wilmshurst et al published their experience of introducing nurse initiated thrombolysis.[1] They show that door to needle times (but not outcome) were reduced. Aside from this, the paper raises important issues about medical training. What the authors demonstrate, is that if you focus resources and training and follow strict protocol driven practice, then for a highly specific task you can improve...

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    Conflict of Interest:
    None declared.