title: [Access to thrombolysis in stroke: place of the rescue system and of the primary care physician].
abstract: Thrombolysis is the most effective treatment improving the outcome of patients suffering from acute stroke. Moreover, its effectiveness increases when administrated as quick as possible after the onset of the first symptoms. Prehospital selection of patients and their immediate transfer to stroke center are the principal factors allowing the practice of thrombolysis within the authorized time frame. On the basis of regional Swiss French data, it seems that patients evaluated by emergency physician and their direct transfer in an acute stroke unit reduces delays and allows for a higher thrombolysis rate.
authors.affiliation: Service des urgences, Département de médecine, Hôpital neuchâtelois, Pourtalès, 2000 Neuchâtel. denise.freiburghaus@ne.ch
authors.forename: D
authors.initials: D
authors.lastname: Freiburghaus
authors.forename: R
authors.initials: R
authors.lastname: Kehtari
authors.forename: B
authors.initials: B
authors.lastname: Yersin
authors.forename: P
authors.initials: P
authors.lastname: Michel
mesh_terms: D002986:Clinical Trials as Topic; D004632:Emergency Medical Services; D006801:Humans; D011320:Primary Health Care; D020521:Stroke / Q000188:drug therapy*; D013557:Switzerland; D015912:Thrombolytic Therapy