Time to Lytics - Is Faster Better?

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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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Chad M. -

I liked the recent segment on time to thrombolytics in the February emrap. Our facility is likely switching to tenectaplase given the recent trials showing better reperfusion before thrombectomy. I think we're going to use it for regular strokes as well, and I'm having trouble finding clear evidence for this. I have found papers describing non inferiority of tnk to alteplase, but I think the evidence for alteplase is pretty weak as it is! Is tnk better supported on its own vs placebo for acute ischemic stroke?

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EM:RAP 2021 February Full episode audio for MD edition 214:23 min - 229 MB - M4AEMRAP 2021 February PA Edition PA Edition 60:19 min - 83 MB - MP3EM:RAP 2021 February German Edition Deutsche 97:11 min - 134 MB - MP3EM:RAP 2021 February Canadian Edition Canadian 16:19 min - 23 MB - MP3EMRAP 2021 February Farsi Edition Farsi 191:42 min - 263 MB - MP3EMRAP 2021 February Spanish Edition Español 43:32 min - 60 MB - MP3EMRAP 2021 February French Edition Français 23:52 min - 33 MB - MP3EMRAP 2021 February Aussie Edition Australian 0:49 min - 1 MB - MP3EM:RAP 2021 02 February Written Summary 604 KB - PDFEM:RAP 2021 February Board Review Answers 152 KB - PDFEM:RAP 2021 February Board Review Questions 109 KB - PDFEM:RAP 2021 February MP3 Files 245 MB - ZIP

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