To clarify. "Inform/refus" to me means advising against tPA in elig pt, charting decision to decline and calling off acute prot'col; gutsy but does any1 do it? More insidious is same prior to stroke team who may need to counter ED efforts. Either could trigger an M&M or review.https://twitter.com/jeremyfaust/status/1101988772953108482 …
-
-
Replying to @EddyLang1
Find reasons to treat patients. There is risk. But stroke is a crappy disease. You guys don't see the patients at 90d, on the rehab ward or long term followup.
6 replies 1 retweet 15 likes -
Replying to @mihill68 @EddyLang1
Thx for participating in the convo as neurologists. Can we just talk about the data? Your comment seems like a logical fallacy (appeal to emotion). We all agree
#stroke is a crappy disease.@reverendofdoubt@jeremyfaust@First10EM@srrezaie @precordialthumhttps://yourlogicalfallacyis.com/appeal-to-emotion …3 replies 0 retweets 5 likes -
I don’t get why this spectre of “dubious evidence” keeps coming up re
#tPA? There is definitive evidence- pls consider this individ patient metaanalysis https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60584-5/fulltext … or this 3y mortality analysis of IST3 (for those with concerns re survival): https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(16)30139-9/fulltext …4 replies 1 retweet 4 likes -
Replying to @draravindganesh @TheSGEM and
It's a very good question. Why are so many in EM at odds with the rest of the planet on this issue? I have been following this for approx 20 years and I would venture that one very influential voice has convinced many in EM to be skeptical of the data.https://www.youtube.com/watch?v=JyModq-7STM …
5 replies 0 retweets 2 likes
IM here- I can’t understand how anyone can look at the data and NOT be skeptical or demand a true quality RCT. Upstairs very few of us have any idea how poor the NINDS trial was we only see the genentech sponsored “are you having a stroke” posters.
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.