The Free Open Access Medical Education (FOAM)
ACEP tPA Clinical Policy 2012 – This policy has been entrenched in controversy since it was published. Why? Well, largely because the evidence was given a stronger level recommendation than the data supported, conflicts of interest abounded, and the data (mostly from NINDS (The SGEM review), ECASS, and IST-3) were problematic. This has been well covered by these reviews of the clinical policy:
- Emergency Medicine Literature of Note – Dr. Ryan Radecki
- SMART EM – Dr. David Newman
- Practical Evidence – Dr. Scott Weingart
- ACEP 2014 Debate – FOAMcast
What changed in the 2015 draft?