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Understanding the Checklist for Fibrinolytic Therapy Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Video at a Glance

Fibrinolytics can be used for STEMI or ischemic stroke.
The fibrinolytic checklist includes assessment for:

  • Hypertension
  • Difference in BP between right and left arm
  • Structural CNS lesions
  • Head trauma in last 3 months
  • Stroke in last 3 months
  • Surgeries in last month
  • History of intracranial hemorrhage
  • Bleeding disorders
  • Pregnancy
  • Serious diseases

The steps in the checklist algorithm include:

  • 12-hour window for AMI
  • STEMI or new LBBB
  • Contraindications and risk/benefit ratio
  • Other conditions

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