I am seeing more and more young ED physicians fresh out of residencies having almost a militant opposition to tPA use for strokes. They would call mild yet disabling symptoms as "TIA" even though symptoms are persisting and refuse to give tPA. One guy even aborted tPA in the middle of the infusion saying they are the attendings and we the neurologists are just consultants whose recommendation they can reject. Their NIHSS report 2 when it is actually 8 consistently for several days and MRI showing significant strokes.
They are defiant of AHA/ASA guidelines and scoff at the idea that tPA is effective. I know there used to be a party of ED physicians who were very skeptical of tPA. But these young ones are actually militant. Someone mentioned a podcast for ED physicians going around that promotes this movement. Anyone else seeing this trend? I asked my stroke coordinator to report all this to AHA/ASA.
I partly understand where they are coming from but also very concerning for patient care not to mention the headaches of dealing with these mis-educated physicians.
They are defiant of AHA/ASA guidelines and scoff at the idea that tPA is effective. I know there used to be a party of ED physicians who were very skeptical of tPA. But these young ones are actually militant. Someone mentioned a podcast for ED physicians going around that promotes this movement. Anyone else seeing this trend? I asked my stroke coordinator to report all this to AHA/ASA.
I partly understand where they are coming from but also very concerning for patient care not to mention the headaches of dealing with these mis-educated physicians.