Student learning toolCreated by: Champsedine Arevalo, MAN, RN, EMT
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Suspected Stroke

Time is brain. Goal door-to-needle ≤ 60 min for eligible patients.

START
Suspected stroke
ACTION
ABCs, glucose, last-known-well time
ACTION
Non-contrast head CT within 25 min
DECIDE
Hemorrhage?
YesNeurosurgery consult, BP control
No — ischemicAlteplase / tenecteplase if eligible (≤ 4.5 h)
ACTION
Neurosurgery consult, BP control
ACTION
Alteplase / tenecteplase if eligible (≤ 4.5 h)
Consider endovascular thrombectomy for large-vessel occlusion up to 24 h.