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The Free Open Access Medical Education (FOAM)

Comment on the 2015 ACEP tPA Clinical Policy Draft here

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?