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Hesham A. Hassaballa, MD's avatar

Literature is fine. Real world practice is quite another thing. The risk of bleeding is super high (look at the upper limit of the confidence interval). Glad I’m not a Tele neurologist lol.

PulmCCM's avatar

Me too. They are in an impossible position--huge risks either way. Both to the patient and from a liability standpoint (neurologists most often get sued for NOT giving thrombolytics).

https://www.annemergmed.com/article/S0196-0644(21)00970-7/fulltext