Increasing doctors' confidence would solve low uptake of prehospital thrombolysis

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7091.1417 (Published 10 May 1997) Cite this as: BMJ 1997;314:1417
  1. J A Ellerton, General practitionera
  1. a Birbeck Medical Group, Penrith CA11 8HW

    Editor—Luke Vale and colleagues calculate that the additional cost of thrombolysis in the community compared with hospital use is modest and suggest further research on the impact of a policy of community thrombolysis.1

    I work in a rural practice 35 km from the nearest district general hospital; anistreplase was introduced into the practice four years ago. The 10 doctors serve a resident population of 14 000 people; in addition there are many holidaymakers and a local community hospital. Almost all patients with chest …

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