Hemisphere IV-Rapid Stroke response
Study online at https://quizlet.com/_ff1ofs
1. EMS goal on 15 minutes
scene
2. Oxygen satura- >94%
tion in stroke
3. Onset of symp- 4.5 hours
toms to throm-
bolytics time
4. Onset of 24 hours
symptoms to
thrombectomy
time
5. Stroke Center Comprehensive Stroke Center (CSC)
designations Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
6. Door to door <= 60 min hospital to hospital transfer
transfer time
7. associated symp- *especially with cerebellar and hemorrhagic stroke
toms of stroke vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
8. Overlooked dizziness
symptoms of headache
stroke general weakness or fatigue
, Hemisphere IV-Rapid Stroke response
Study online at https://quizlet.com/_ff1ofs
nausea, vomiting
disorientation, confusion, or memory problems
9. Door to doctor ASAP - 10 min
time
10. BP parameters do not treat elevated BP unless concurrent myocardial infarction, heart failure,
aortic dissection, or confirmed hemorrhagic stroke
11. Door to stroke ASAP - 15
team time (neuro
expertise)
12. Prior to throm- Noncontract CT or MRI to exclude hemorrhage
bolytic Blood glucose level - to rule out hypoglycemia
BP under 180/105
13. When to repeat >60 minutes since last CT
CT in Hosp to
hosp transfers
14. Baseline labs CBC, electrolytes, Renal function creatinine, troponin and ecg to evaluate MI and
arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
15. Airway manage- Swallow screen should be performed on all stroke patients
ment npo until complete
16. How long is 24-48 hrs
BP elevated after
stroke
17.
Study online at https://quizlet.com/_ff1ofs
1. EMS goal on 15 minutes
scene
2. Oxygen satura- >94%
tion in stroke
3. Onset of symp- 4.5 hours
toms to throm-
bolytics time
4. Onset of 24 hours
symptoms to
thrombectomy
time
5. Stroke Center Comprehensive Stroke Center (CSC)
designations Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
6. Door to door <= 60 min hospital to hospital transfer
transfer time
7. associated symp- *especially with cerebellar and hemorrhagic stroke
toms of stroke vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
8. Overlooked dizziness
symptoms of headache
stroke general weakness or fatigue
, Hemisphere IV-Rapid Stroke response
Study online at https://quizlet.com/_ff1ofs
nausea, vomiting
disorientation, confusion, or memory problems
9. Door to doctor ASAP - 10 min
time
10. BP parameters do not treat elevated BP unless concurrent myocardial infarction, heart failure,
aortic dissection, or confirmed hemorrhagic stroke
11. Door to stroke ASAP - 15
team time (neuro
expertise)
12. Prior to throm- Noncontract CT or MRI to exclude hemorrhage
bolytic Blood glucose level - to rule out hypoglycemia
BP under 180/105
13. When to repeat >60 minutes since last CT
CT in Hosp to
hosp transfers
14. Baseline labs CBC, electrolytes, Renal function creatinine, troponin and ecg to evaluate MI and
arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
15. Airway manage- Swallow screen should be performed on all stroke patients
ment npo until complete
16. How long is 24-48 hrs
BP elevated after
stroke
17.
