Hemisphere IV-Rapid Stroke response
questions with verified answers
EMS goal on scene - ANS ✔✔15 minutes
Oxygen saturation in stroke - ANS ✔✔>94%
Onset of symptoms to thrombolytics time - ANS ✔✔4.5 hours
Onset of symptoms to thrombectomy time - ANS ✔✔24 hours
Stroke Center designations - ANS ✔✔Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
Door to door transfer time - ANS ✔✔<= 60 min hospital to hospital transfer
associated symptoms of stroke - ANS ✔✔*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
, Overlooked symptoms of stroke - ANS ✔✔dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
Door to doctor time - ANS ✔✔ASAP - 10 min
BP parameters - ANS ✔✔do not treat elevated BP unless concurrent myocardial infarction,
heart failure, aortic dissection, or confirmed hemorrhagic stroke
Door to stroke team time (neuro expertise) - ANS ✔✔ASAP - 15
Prior to thrombolytic - ANS ✔✔Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
When to repeat CT in Hosp to hosp transfers - ANS ✔✔>60 minutes since last CT
Baseline labs - ANS ✔✔CBC, electrolytes, Renal function creatinine, troponin and ecg to
evaluate MI and arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
Airway management - ANS ✔✔Swallow screen should be performed on all stroke patients
npo until complete
questions with verified answers
EMS goal on scene - ANS ✔✔15 minutes
Oxygen saturation in stroke - ANS ✔✔>94%
Onset of symptoms to thrombolytics time - ANS ✔✔4.5 hours
Onset of symptoms to thrombectomy time - ANS ✔✔24 hours
Stroke Center designations - ANS ✔✔Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
Door to door transfer time - ANS ✔✔<= 60 min hospital to hospital transfer
associated symptoms of stroke - ANS ✔✔*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
, Overlooked symptoms of stroke - ANS ✔✔dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
Door to doctor time - ANS ✔✔ASAP - 10 min
BP parameters - ANS ✔✔do not treat elevated BP unless concurrent myocardial infarction,
heart failure, aortic dissection, or confirmed hemorrhagic stroke
Door to stroke team time (neuro expertise) - ANS ✔✔ASAP - 15
Prior to thrombolytic - ANS ✔✔Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
When to repeat CT in Hosp to hosp transfers - ANS ✔✔>60 minutes since last CT
Baseline labs - ANS ✔✔CBC, electrolytes, Renal function creatinine, troponin and ecg to
evaluate MI and arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
Airway management - ANS ✔✔Swallow screen should be performed on all stroke patients
npo until complete
