Letter by Shiue and Sands Regarding Article, “Incorporating Nonphysician Stroke Specialists Into the Stroke Team”
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To the Editor:
Anderson et al1 discussed the importance of integrating nonphysician providers and their special skill sets into the stroke care continuum. We would like to add clinical pharmacists as another group of nonphysician providers who can have a significant impact.
Pharmacotherapy is critical in emergency stroke care, in particular alteplase for systemic thrombolysis in the setting of an acute ischemic stroke. It is well-established that early thrombolysis treatment in patients with acute ischemic stroke improves functional outcomes and minimizes neuronal death. Clinical pharmacists, who are part of the stroke team and respond to bedside, are an effective way to improve door-to-needle times in the emergency room. …