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Rationale for Thrombolysis

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High Dependency Unit<br />

Advantages<br />

• Specialist in stroke:<br />

skilled and<br />

experienced medical<br />

staff<br />

• Skilled and<br />

experienced nursing<br />

staff in acutely ill<br />

patient / thrombolysis<br />

<strong>for</strong> MI<br />

Challenges<br />

• Unpredictability<br />

• Bed availability<br />

• Lack of early access to<br />

Stroke Unit<br />

• Lack of skilled and<br />

experienced stroke<br />

specialists<br />

• Step down <strong>for</strong> patients<br />

• Stroke nurses fail to<br />

gain experience in<br />

thrombolysis

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