Fibrinolysis in ALS

ALS patient
ALS patient

A 55 year – old man on CCU due to a surgery for an aortic aneurism 4 weeks ago, has a witnessed, monitored cardiac arrest. The ECG previous to the cardiac arrest shows a ST elevation in anterior leads.  After 15 minutes of CPR you make the following decisions:

a) Fibrinolysis is contraindicated if the patient has had a surgical procedure within the last month.

b) Ongoing CPR for 15 minutes contraindicates the use of fibrinolysis.

c) If fibrinolysis is administerd, CPR shoud continue for another 45 minutes.

d) Fibrinolysis therapy is as effective as percutaneous coronary intervention (PCI).

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