July 29, 2026 · Prehospital emergency care · DOI: 10.1080/10903127.2026.2711274

Determinants of Timely Prehospital Thrombolysis Administration within a Pharmacoinvasive STEMI Network in Victoria, Australia

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The authors aimed to determine the proportion of patients receiving prehospital thrombolysis (PHT) within 30 minutes of first medical contact (FMC) and to identify factors influencing timely administration within a pharmacoinvasive STEMI network in Victoria, Australia. They found that only 32.5% of patients achieved this timely treatment, with delays linked to older age, mild pain severity, after-hours presentations, and the need for clinical consultation. The study highlights significant opportunities for improving the efficiency of thrombolysis administration in emergency settings.

Andrew Bishop, Ziad Nehme, Dion Stub, Karen Murdoch, Ashanti Dantanarayana, Jesslyn Wijaya, Benjamin Meadley

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