Implementation of a thrombolytic protocol in the emergency department

The emergency department plays a pivotal role in the identification, selection, and treatment of candidates for thrombolytic therapy. Organized treatment protocols offer direction to the emergency staff and enhance their efficiency and success. However, the process of drug administration is not a one person job. It requires the efforts of a "support team," all of whom must be educated regarding protocol goals and expectations. With the creation of special tools, implementation becomes an achievable task, and staff demands are reduced proportionately. As patient outcomes are known, it is essential to pass these data on to all team members. There is no greater payback for a dedicated caregiver than to realize his positive impact on patient outcome.