WDYS: Talking about tPA – Expert and Community Commentary

Last week marked the launch of the What Do You Say? case series, and what a great first week it was. This month’s case focused on patient education regarding tPA use in ischemic stroke. […]

WDYS: Talking about tPA

The use of Alteplase (tPA) in the setting of ischemic stroke has grown to be one of the most controversial issues in emergency medicine and for good reason. It is a trifecta of hardship: time is limited, the evidence for treatment is unclear, and patients are especially vulnerable to the information we provide when making a life changing decision. Unfortunately, most patients have not kept tabs on the literature, and when their health is on the line it is up to you to lay out their options for care.


Decision Aids for Chest Pain: How much is too much information?

The treatment, testing, education, and disposition of patients presenting to the emergency department with chest pain is of great concern to all emergency physicians—especially those patients who fall into low-risk categories. These low-risk chest pain […]