Costs and effectiveness of prehospital thrombolysis need to be clear

doi:10.1136/bmj.327.7422.1051-a

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M Kroese (markk@srl.cam.ac.uk), specialist registrar in public health medicine,
D Kanka (david.kanka@southcambs-pct.nhs.uk), director of public health

Public Health Genetics Unit, Cambridge CB1 8RN
South Cambridgeshire Primary Care Trust, Cambridge CB1 5EE

EDITOR—Pedley et al provide further evidence that paramedical staff providing prehospital thrombolysis for acute myocardial infarction is feasible and reduces the treatment delay.1 However, no cost data were presented.

The authors say that two extra lives might be expected to be saved per 100 patients treated. It is unclear how …