Acute Stroke Consult Guidelines

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Presentation transcript:

Acute Stroke Consult Guidelines WHAT IS THE LAST KNOWN NORMAL? (LKN) <8 hours since LKN >8 hours or UKNOWN since LKN Send pt to CT STAT Call MUSC Telestroke ? t-PA Candidate ? Send to CT CT Normal Scan looks GOOD Pt looks BAD CT Normal Scan looks GOOD Pt looks GOOD CT with INFARCTS Scan looks BAD Pt looks BAD Call MUSC Telestroke for possible Thrombectomy & arrange immediate transport Admit locally; follow stroke guidelines and/or schedule a Post Stroke/Neurology Consult Admit locally; follow stroke guidelines or call MUSC Stroke for transfer LKN ≠ Time Found Good Pt = min. deficit, NIHSS <5 Bad Pt = bad deficit, aphasic or NIHSS >5 Good Scan = no infarct Bad Scan = visible infarct

Scheduled Stroke Follow-Up Consults Post Stroke Follow-Up Scheduled Stroke Follow-Up Consults Has the patient had their Post Stroke Tests & Imaging? (Labs, Echo, MRI/CTA, etc…) Obtain Test & Imaging Upload images for viewing No Yes Upload images for viewing Schedule Consult Schedule Consult Login @ Appt. Time Login @ Appt. Time