Clinical Informatics

Pre-hospital Thrombolysis and Telemedicine in the NHS: A Business Case and Appraisal of the Literature


  1. Introduction and Definitions of Business Case, Telemedicine and Thrombolysis

  2. Strategic context in the NHS

  3. Objectives and Stakeholders of Pre-hospital Thrombolysis

  4. Available Options for Pre-hospital Thrombolysis

  5. Tabulated Appraisal of Short List

    1. Option 1
    2. Option 2 and 3

  6. Summary of Appraisals and Executive Summary

  7. References

Summary of Appraisals of Short List

Based on the above points, the first short-listed option would be the best option. It is capable of meeting the NSF standards, is in keeping with the strategic interest of the NHS, is sustainable and encourages innovative use of Information Technology.

It promotes interdisciplinary communication and interaction, improves the quality of patient care and is sustainable financially.

It will act as a catalyst of change for the delivery of care by the Ambulance Services, leading to better training, audit and research among the paramedics. This is all in keeping with the NHS Plan.

Executive Summary

In view of the all the evidence presented above, it is clear that it is of the utmost importance to achieve early re-perfusion in acute heart attacks.

We are fortunate that the recent developments in bolus thrombolytics, robust and affordable telecommunications systems, telemedicine, clinical research and the national strategic aims in health have all converged to facilitate the above aim.

The use of the "Mobimed-like" tele-medical information systems has the potential to bind all the above different components together; resulting in significant benefit for patient care, more effective and efficient delivery of care, and also more clinical skills and opportunities for the paramedics.

It is an opportunity that should not to be missed.

[The literature review for this article was conducted in 2005]


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