[Soul]

Nice posting. But these results will certainly not affect the medical practice in Nepal coz prehospital disease management is not like that in europe usa. In western countries a patient with ST segment elevation myocardial infarction gets thrombolytic therapy en route ( in ambulance), but in nepal patient must be admitted in CCU. We get afraid of the possible complications. The problem is there is no fix protocol, no facilities and lack of such kind of research works. Who will do? govt is unable to invest in research works, and we can't do independently.