Pre%20Hospital%20Thrombolysis

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Pre Hospital Thrombolysis

• David Whitmore
• Head of Training
• Westcountry Ambulance Services NHS Trust

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Where did we start from ?
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NHS Plan July 2000, Chap 14 Para 21
There will be a three year programme to train and
equip ambulance paramedics to provide
thrombolysis safely for appropriate patients. On
average, patients will get thrombolysis an hour
sooner than if they were taken to hospital first,
saving up to 3,000 lives a year once fully
implemented.
CHD NSF March 2000 Chap 3 Para 33
Pre-hospital thrombolysis In some places, it may
be difficult to reduce call-to-needle times to
less than 60 minutes because call-to-door times
cannot be reduced below 30 minutes. If, after
careful consideration, it is judged that local
circumstances make it impossible to reduce
call-to-door times to less than 30 minutes,
other models of care e.g. out-of-hospital
administration of thrombolysis, must be considered
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Medical Director
Cardiologists
Cardiac Nurse Specialists
Ambulance Tutors
Input to Course Content
ECG Technicians
Equipment Suppliers
Ambulance Staff
Personnel Dept
A E Doctors Nurses
Pharmacists
Other Amb Services
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What and who was used
JRCALC Thrombolysis model course
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Pre Learning Package (min 2 weeks prior)

• Self Assessment Questionnaires
• 3 lead rhythm strips
• 12 lead rhythms
• Epidemiology
• Patient presentation
• Treatment options (current)

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Day One
Explanation of project Work through
pre-assessment paper
Must get 100 Must get 100 Must get 100
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Thank you for listening Any questions?