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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.

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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

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