tPA (Deep Dive R29)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 15 January 2022

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

tPA usage is controversial. Listen to find out why. Read more to form your own opinions. Episode Sources: After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department Why we can’t trust clinical guidelines […]

Transcript

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0:00.0	Hello, med students. My name is Zach Olson and thank you for downloading this month's deep dive. In this deep dive, we are going to be talking about TPA. However, before we get into that, I'd like to give a word for our sponsor. Once again, it is my pleasure to announce that this episode is sponsored by Pearson Rabbit's Insurance.
0:21.9	Stephanie Pearson is my personal disability and life insurance agent, and I trust her.
0:27.2	As a resident, you will need to purchase a personal disability policy.
0:32.0	The earlier you do this in your training, the better.
0:34.4	And this is for a variety of reasons, including cost and exclusions
0:38.1	and things like that. This policy is going to stick with you forever. It's going to be your
0:42.5	financial shield against your career ending early. Stephanie Pearson was a doctor that got
0:47.2	disabled herself. So you better believe that she knows her stuff. Ask her her story. You'll realize
0:52.3	how legit of an agent she is. Go to www.personravitz.com, fill out the
0:58.3	contact form, set up an appointment to talk, let her know where you are in training so she can
1:02.8	coach you on how to do this right. She's going to walk you through this, when you buy this,
1:07.8	how you buy this. Again, it's www.pearsonrabbits.com. Get in touch. Don't wait until
1:13.9	it's too late. Now let's talk about TPA. This is going to be a big episode, you guys. This is a
1:20.5	controversial topic. For the med students out there, if you don't realize this, TPA is, can get
1:25.3	pretty saucy when people discuss about it. This episode's
1:29.1	going to be broken into two parts. The first part is going to be an introduction to TPA. So some of
1:35.2	the theory and the history behind it and why it's so controversial. I'm going to try to be
1:39.6	balanced and that way we can kind of have a mature, mutual kind of understanding of what's going on here, I guess.
1:46.8	We're just going to do a nice, good introduction to the topic.
1:50.4	The second part is going to be what I believe is the clear path forward, given how controversial this is and how many different opinions are floating around there on this.
1:58.7	My goal is to paint a path forward.
2:01.9	I believe that there is a clear, obvious path forward with this topic.
	...

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