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PRACTICE: Will T Roberts and Adam D Timmis Patients with cardiac chest pain should call emergency services BMJ 2007; 335: 669 [Full text]

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Thrombolysis in Hospitals

Mahmood Ahmad   (31 October 2007)

Thrombolysis in Hospitals 31 October 2007
Mahmood Ahmad, ST3 Medway Maritime Hospital, Gillingham, Kent ,ME7 5NY Send response to journal: Re: Thrombolysis in Hospitals	It would be interesting to note that although door to needle time has improved to such an extent that 81% of patients are given Thrombolytic drugs within 30 minutes of reaching a Hospital.[1] Having worked on the wards in NHS Hospitals the question arises how many in-patients receive Thrombolysis within 30 minutes of having Chest pain and ECG changes. Considering the workload on night and weekend staff the time to treat counterintuitively might not be as good as those for patients coming in from outside the Hospital. It would be a question to include in future analysis. [1]How the NHS manages Heart attacks: Third Public report of the Myocardial infraction National Audit Project Competing interests: None declared