To tPA or not to tPA?
tPA should never be given, it is a harmful drug, and there are too many trials showing no benefit and harm with thrombolytics
tPA is safe and effective, and should always be given to everyone up to 3 hours after symptom onset
tPA is safe and effective, and should always be given to everyone within 4.5 hours of presentation
tPA may be effective in certain patients, but we need more validation trials before offering it as frequently as we do
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