Background The administration of recombinant tissue plasminogen activator (rt-PA) has increased the focus on acute ischemic stroke (AIS) as an emergency condition. The emergency physicians have to rapidly recognize the patients who are candidates for rt-PA and refer them to the specialized stroke team within the proper time window. The knowledge of the emergency physicians about the benefit and the drawbacks of this therapy is crucial and it affects their attitudes towards its use. Objective To apply a survey on the Egyptian emergency physicians aiming to investigate their knowledge about the use rt-PA therapy in AIS. Methodology A self-administered questionnaire was sent to the emergency physicians who are working in three Egyptian governorates. Results Out of 120 emergency physicians, the total knowledge of the study group was good with a score of 7 ± 1.8/11. Most of the participants mentioned the correct answers (over 50%) for all items except for one question regarding the blood glucose control before the use of rt-PA. Significant positive correlation was noted between the knowledge score and the age. Conclusions The surveyed emergency physicians had a good knowledge about the use of rt-PA in AIS, yet, this knowledge is mainly theoretical. Therefore, tutorials, clinical training, and active engagement in the stroke care team are warranted to improve their clinical practice.

中文翻译：

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埃及急诊医师在急性缺血性卒中中使用 rt-PA 的知识

背景 重组组织纤溶酶原激活剂 (rt-PA) 的使用增加了对急性缺血性中风 (AIS) 作为紧急情况的关注。急诊医师必须迅速识别适合 rt-PA 的患者，并在适当的时间范围内将他们转诊给专门的卒中团队。急诊医师对这种疗法的利弊的了解至关重要，这会影响他们对其使用的态度。目的 对埃及急诊医师进行调查，了解他们对 AIS 中使用 rt-PA 治疗的知识。方法 向在埃及三个省工作的急诊医生发送了一份自我管理的问卷。结果 在 120 名急诊医生中，学习组总分7±1.8/11。除了一个关于使用 rt-PA 前血糖控制的问题外，大多数参与者都提到了所有项目的正确答案（超过 50%）。知识得分与年龄呈显着正相关。结论 被调查的急诊医师对 rt-PA 在 AIS 中的使用有很好的了解，但这些知识主要是理论性的。因此，有必要提供教程、临床培训和积极参与卒中护理团队，以改善他们的临床实践。知识得分与年龄呈显着正相关。结论 被调查的急诊医师对 rt-PA 在 AIS 中的使用有很好的了解，但这些知识主要是理论性的。因此，有必要提供教程、临床培训和积极参与卒中护理团队，以改善他们的临床实践。知识得分与年龄呈显着正相关。结论 被调查的急诊医师对 rt-PA 在 AIS 中的使用有很好的了解，但这些知识主要是理论性的。因此，有必要提供教程、临床培训和积极参与卒中护理团队，以改善他们的临床实践。