Management of the Medical Patient in Remote & Rural Location

Drag and drop these contraindications to thrombolysis under the correct heading.

Previous cerebral haemorrhage or stroke of unknown origin in past history

Ischaemic stroke in last 6 months

Unconcious

CNS trauma or neoplasm

Suspected aortic dissection

Known bleeding disorder

GI bleed within previous month

Recent trauma, head injury or surgery within last 3 months

Resuscitation within last 3 months

TIA in previous 6 months

Pregnant or within 1 week post-partum

Systolic BP >180 after analgesia

Active peptic ulcer

Pain free or >12hrs since pain onset

Advanced liver disease

Anticoagulant therapy e.g warfarin