4.8 • 678 Ratings
🗓️ 22 October 2016
⏱️ 17 minutes
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Stroke thrombolysis has definitely put the spotlight back on to the topic of stroke over the last few years. Stroke thrombolysis has led to restructuring of stroke care in the UK and has helped drive investment in stroke care.
The evidence base that underpins thrombolysis has been controversial to say the least and can be difficult to comprehend.
The article, published in the the Emergency Medicine Australasia Journal is a great place to start to get to grips with the topic.
In the podcast we run through the paper and hopefully this will shed act as a good recap on the topic and lead you to delve into the primary literature and form your own opinion.
Enjoy!
References
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0:00.0 | Welcome to the Recess Room podcast. |
0:03.9 | Five, four, three, two, one, fire. |
0:13.0 | Hi, and welcome back to the Recess Room podcast. I'm Simon Lang. |
0:17.8 | And I'm Rob Fenwick. |
0:18.7 | And today we're going to be talking about the ever-controversial |
0:22.9 | thrombolysis for stroke. Thrombolysis for stroke? Well, you should be able to get this |
0:28.1 | wrapped up in about five minutes then, pretty straightforward. So in fairness, it's a topic that's |
0:34.2 | been covered in loads of podcasts, load of blogs. The controversy probably won't |
0:38.3 | be new to you, but there's been a really good paper that's come out recently, which sums |
0:42.9 | up the evidence for stroke thrombolysis, both for and against. And actually, I found it |
0:48.2 | a really useful recap to jog my memory on exactly what the controversies were and then |
0:52.8 | enables you to relay that information |
0:54.5 | back to the patient to help them make a more informed decision. So I think there are some real |
0:59.0 | pearls in this paper that we're looking forward to going through. Yeah, and it's always good. I think |
1:02.7 | it's been a little while since it's been on the foam horizon, I think. So it's always nice to have a |
1:08.0 | recap on stuff like this, particularly the controversial stuff like you say, just to make sure that you're definitely remembering all the key facts that |
1:14.1 | you can take away from the evidence. Yep. Before we start, you should definitely say that |
1:21.8 | stroke care and treatment has dramatically improved over the last few years. And this in no small part is because |
1:30.3 | of the spotlight that stroke thrombolysis has put on to the disease. So 20, 30 years ago, |
1:36.3 | someone would come in with a stroke. It wouldn't be a time critical problem. People would have a scan |
1:41.3 | over the next few hours or days, probably days, would, for one of a better word, fester on the ward and then you'd wait and see whether or not there's resolution of the symptoms. |
1:50.9 | With the common implementation, certainly in the UK, of stroke thrombolysis, the spotlight really has been put back on it, people are being transferred to stroke centres, they're having urgent neuroimaging, |
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