Not just another blocked pipe: the trouble with ‘door-to-needle’ trauma metrics

Maung et al’s ‘Door to Needle Time: Has the 2022 ACS VRC Interventional Radiology Readiness Standard Made a Difference?’ raises an equally important question as the one it attempts to answer: does ‘door-to-needle time’ in trauma patients, analogous to ‘door-to-balloon’ time in myocardial infarction (MI), have equivalent clinical utility?1