-
Arrival of patient
Confirm airway -
CT scan
obtain CT scan to check for hemorrhage. Goal is door to CT 10 minutes -
Period: to
Hemorrhagic Stroke
If CT reveals Hemorrhagic stroke consult Neurosurgery. Patient will not be a candidate for TPA. -
Neuro exam
Allow Neurology resident to complete in depth stroke assessment -
IV access
Obtain IV access right AC if you can -
TPA
If CT negative for hemorrhage and in window prepare and administer TPA. Goal is door to TPA 30 minutes -
Neuro exam
To be completed Q15 for two hours, Q30 for 6 hours, Q1 for 16 hours.