If I remember correctly, part of the goal here is to gain a bit of time while the patient gets to the ER. I’m no expert but as you seem to have alluded to, the risk profile of alteplase/tenecteplase doesn’t seem to be well suited to an autoinjector with “if in doubt, use it and call the ambulance” instructions.
yeah but then it'll have to compete w/ aspirin/clopidogrel...meaning they're limited on the margins they can set for the med, and injectables tend to be pricey...