0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Brain Attack: Who Will Write the Orders for Thrombolytics?

William H. Wehrmacher, MD; Omer Iqbal, MD; Harry Messmore, MD
Arch Intern Med. 2000;160(1):119-120. doi:.
Text Size: A A A
Published online

Extract

Current nationwide promotion for emergency treatment of an acute stroke called brain attack puts every general hospital in jeopardy if it does not respond appropriately to an emergency. The extensive publicity campaign to promote thrombolytic therapy within 3 hours of stroke onset has found many hospitals totally unprepared. This lack of preparation deserves intensive consideration and possible tempering of the message, but advances in stroke therapy, particularly by thrombolysis and neuroprotective agents, should have propelled the profession beyond its therapeutic nihilism. Nonetheless, that nihilism persists and is supported by fear that thrombolytic drugs may produce cerebral hemorrhage and possibly malpractice suits, a possibility that today is not prevented by withholding thrombolytic therapy. Actually, malpractice suits are more likely to result from the failure to provide thrombolytic therapy (P. B. Gorelick, MD, oral communication, July 1999).

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 2

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();