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Sunday, August 24, 2008

Contraindications to Thrombolysis - "SIT ON HANDS"

Contraindications to thrombolysis - SIT ON HANDS

Surgery, major and in the last 1 month
Ischaemic stroke in the last 1 year (** I and 1 look similar = easy to remember**)
Trauma, major and in the last 1 month (this includes prolonged/traumatic CPR)

O = Pregnancy (think of the pregnant tummy)
New onset trauma at risk of bleeding

H = Haemorrhagic stroke, if ever & Hypertension (severe)
Allergy/anaphylaxis to previous thrombolysis
Neoplasia of the brain
Dissection of the aorta
exSanguination (active)

I don't think this list is exhaustive, but it should be sufficient to divert all the attention, and not to mention further questioning, onto your unsuspecting clinical partner.
at 1:03 AM

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