Intended for healthcare professionals


Paramedics should delay giving aspirin to patients with stroke

BMJ 2000; 321 doi: (Published 29 July 2000) Cite this as: BMJ 2000;321:299
  1. Michael Ward (, medical director,
  2. Peter M Rothwell, MRC senior clinical fellow (
  1. Oxfordshire Ambulance NHS Trust, Ambulance Headquarters, Oxford OX3 7LH
  2. Department of Clinical Neurology, Radcliffe Infirmary, Oxford OX2 6HE

    EDITOR—The Royal College of Physicians has produced clinical guidelines for stroke.1 These include recommendations for the treatment of acute stroke. The first recommendation is that 300 mg aspirin should be given as soon as possible after the onset of stroke symptoms (if a diagnosis of haemorrhage is considered unlikely). This recommendation is graded A, indicating that the evidence is strong. Because of this the Oxfordshire ambulance service considered having paramedics treat patients with aspirin but consulted …

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