This pathway was developed in 2013 and updated in 2016 to reflect the latest European Cardiology Society guidelines. Our situation is that there are occasions when helicopter transfer can be achieved to convey the patient within a 70 minute timescale. However there are also occasions when this is not feasible, and therefore thrombolysis must remain a prominent feature of the pathway.
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(Image: Patrick J. Lynch, medical illustrator; C. Carl Jaffe, MD, cardiologist. Via Creative Commons.)