director1387

I appreciate the in-put. I posted this question after meeting with my medical director and he suggested we look at developing a protocol for an inhibitor. Doing research on ReoPro and Integrilin suggest that it has been given in several studies pre-hospital but there is not a lot of info out there on what the parameters are for administration. We currently do not give beta blockers and it sounds as if this might be the logical next step for our small service. Thanks again.

:?: Is anyone in EMS land using Glycoprotein inhibitors such as ReoPro or Integrilin. I have searched the internet looking for a protocol to no avail. I would appreciate some feed back or if you have a protocol you would like to share. We currently have a very basic C/P protocol but would like to be more aggressive, we have 2 cath labs available within 20 minutes and currently do not have to ask permission to transport there, studies suggest that concommittent use of unfractionated Heparin and ASA with an inhibitor lessons mortality by about 7-9%. Any opinions out there?