Grosmont Hospital Cardiovascular Institute: Thrombolitic Inclusion and
Guidelines, not standards of care.
- Pain < 12 hours.
- Pain > 30 minutes and unresponsive to NTG.
- EKG evident of Myocardial Infarction (0.1 mv ST segment elevation
0.08 seconds after the J point in two inferior leads, two contiguous lead, or
leads I and AVL).
- Known active bleeding sites of disorders: GI including ulcerative
colitis, diverticulitis, esophageal varicies; GU:; coagulation disorders with
- Recent surgery: With ten days including invasive biopsies or
non-compressible arterial punctures.
- Prolonged CPR: > 5 minutes within two weeks.
- CVA's: Any CVA or TIA; known cerebral neoplasm: recent sever
- Trauma: Significant within three months
- Hyperetnsion: Previously uncontrolled (DBP > 110 mmHg on sevreal
measurements) or currently elevated (SBP > 180 mmHg, or DBP > 110 mmHg at
- Cardiac Diseases: Recent pericarditis, known aortic anurysm (recent
SBE, mitral valve disease with a-fib, posthetic heart valve,dilated
cardiomyopathy, permenent pacemaker, CABG, LBBB).
- Woman of child bearing potential: pregant, 10 days post partum
- Other medical disorders: Diabetic retinopathy (cavitating lung
disease, acute visual disorders, cancer, or other advanced illnessnes).
- Potential allergic recations: Severs stretococcal infection of STK
and Eminase infusion within one year (not a concern for rt-PA therapy)
- CPR . one minute within two weeks
to S. D.
Paramedic 12 Lead E.C.G.
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