Good old Tomorrow's World. Live every week from BBC tv Centre, it was 30 minutes of what's new on science, health & gadgets. The show had a clunky, parochial attitude but when I was a kid I loved it, which explains a lot... So I was quite happy to 'find' an old episode from 1983 on the interweb and watched it for amusement to see if it was as I remembered. I was quite excited when they started this little report on thrombolysis. Now if you (like me) work in emergency medicine, you will know that "clot-busting" or thrombolysis has revolutionised the front line treatment of "heart attacks" or myocardial infarction. In the NHS it's all about giving the thrombolysis medicine within 30 minutes of the ambulance call, it you're interested you can peruse this: http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/CoronaryHeartDisease/CoronaryArticle/fs/en?CONTENT_ID=4097436&chk=3P6ouG ...which also address the one gold standard better than thrombolysis: coronary angioplasty, threading a catheter through your blood vessels to open up the blockages in the heart vessels. So watching Tomorrow's World, sandwiched between a report on taxis which can accept credit cards (wow!) and a review of the Sinclair C5 was this three minute review of a change in medical care which went on to save thousands of lives. In retrospect, it's a nice historical piece. And gasp as Peter McCann jabs his finger with a needle on live tv, continues to bleed for the rest of the report and then, really irresponsibly considering he has an open wound, purposely pours out a test tube of someone else's blood without wearing gloves. And the bit where he says that the drug only works where the clots are is a bit of a lie, thrombolysis can cause nasty bleeding, including strokes. Good old Tomorrow's World... FYI: http://en.wikipedia.org/wiki/Thrombolysis http://en.wikipedia.org/wiki/Coronary_angioplasty

Giant thrombus in right atrium in preterm infant. The video shows the clot dissolution during loco-regional therapy with recombinant tissue plasminogen activator (rt-PA).

http://www.bacchusvascular.com - Animation showing innovative new pharmacomechanical device for treatment of deep vein thrombosis (DVT). www.bacchusvascular.com

Acute coronary syndrome is the most common cardiac emergency .It is divided into STEMI& NSTEMI .Can both these entities occur simultaneously in patient?

Is reciprocal changes applicable only to STEMI ? Can it happen in unstable angina?

http://www.bacchusvascular.com

microbubble administration during sonothrombolysis in stroke patient with MCA occlusion

Tony Blair Screwing Up (Yet Again)

From http://www.hhcbooks.com/cardiovascular/contemporary_hospitalists_guide_to_anticoagulation - Leading experts in anticoagulation Steven B. Deitelzweig, MD, and Alpesh Amin, MD, talk about what's new in antithrombotic and thrombolytic therapies

New evidence-based ACCP guidelines address prevention and ma

http://www.medpagetoday.com George Edmonson, M.D., of Regions Hospital in St. Paul WASHINGTON -- Thrombolytic agents are an effective treatment for the severe frostbite that leads to loss of fingers and toes, a Minnesota researcher said here.

http://www.medpagetoday.com Larry Goldstein, M.D., director of the Duke Stroke Center in Durham, N.C. NEW ORLEANS -- Thrombolytic therapy given three to six hours after symptom onset -- beyond the approved therapeutic window -- did not limit infarct growth in patients who theoretically might benefit from late reperfusion, investigators reported here.

In his latest video blog, Dr. Alberts discusses the results from The European Cooperative Acute Stroke Study (ECASS 3).