Abstract
Background
In rural areas it is impossible for eligible patients presenting with acute myocardial infarction (AMI) to receive thrombolysis within the recommended 90 minutes unless administered in the community by the general practitioner.
Aims
The aim of this study was to describe the attitudes of hospital staff and general practitioners towards pre-hospital administration of thrombolysis.
Method
General practitioners, consultant physicians and nursing staff participated in the survey.
Results
General practitioners were convinced of the added benefits of administration of thrombolysis in the community and believed the hospital had a role to play. Likewise the hospital staff agreed with the benefits of pre-hospital thrombolysis. However, they felt that the decision to thrombolyse patients should be made in consultation with the hospital.
Conclusions
Pre-hospital thrombolysis programmes must be continuously monitored and evaluated to identify important factors that may prevent wider use of thrombolytic treatment.
Similar content being viewed by others
References
Cardiovascular Health Strategy Group (1999). Building Healthier Hearts. Department of Health and Children.
O’Neill J, Dowling J, Wright P et al. Patients presenting with acute myocardial infarction to a district general hospital: Baseline results and effect of audit.Irish Med J 2003; 96; 3.
GREAT Group. Feasibility, safety and efficacy of domiciliary thrombolysis by general practitioners: Grampian region early anistreplase trial.Br Med J 1992; 305:548–53.
North West Immediate Care Programme (2003).Donegal Area Rapid Treatment Study (DARTS): Final Report. North Western Health Board.
Rawles J. Attitudes of general practitioners to prehospital thrombolysis.Br Med J 1994; 309: 379
Rawles J, Ritchie L. Thrombolysis in peripheral general practices in Scotland: another rule of halves.Health Bull 1999; 57:1: 10–16.
Doherty D, Dowling J, Wright P, Murphy AW, Bury G, Bannan L. The potential use of prehospital thrombolysis in a rural community.Resus 2004, 61:303–307.
Doherty D, Dowling J, Wright P, Murphy AW, Bury G, Bannan L Prehospital thrombolysis in a rural community: A case series and clinical follow-up. Submitted toIrish Journal of Medical Sciences.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tedstone Doherty, D., Dowling, J., Wright, P. et al. The experiences and attitudes of general practitioners and hospital staff towards prehospital thrombolysis in a rural community. Ir J Med Sci 175, 20–25 (2006). https://doi.org/10.1007/BF03167962
Issue Date:
DOI: https://doi.org/10.1007/BF03167962