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Acute Stroke Care/Emergency Department Resources

PLEASE SEE MEDICAL DISCLAIMER BELOW

EMS Notification Report

This template may be used by the ED staff receiving the EMS call-in report pertaining to patients with time sensitive illnesses. It should trigger the activation of predefined pathways to expedite assessment and treatment of this subset of patients.  Our hope is that for strokes, it will decrease the door-to-CT and door-to-thrombolytic time in eligible patients, thereby improving patient outcomes.

Direct-to-CT Checklist

This checklist can be used by EMS services and the Emergency Department to facilitate a Direct-to-CT pathway for suspected stroke patients.

Code Stroke Timeline Worksheet

Worksheet to assist with documentation and action items associated with a Code Stroke activation.

ED Code Stroke Pathway

Decision support tool for physicians caring for a patient presenting with an acute CVA.

Hemorrhagic Stroke Stabilization Protocol

Decision support tool for physicians caring for a patient presenting with an acute hemorrhagic stroke.

Dual Antiplatelet Therapy in TIA/Acute Ischemic Stroke

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Thrombolysis for Acute Ischemic Stroke Tools

Lytic Eligibility Criteria (Eligibility based on Clinical Presentation)

Decision support tool for use by physicians to evaluate the eligibility and relative risk of giving thrombolytics to patients suspected of having an acute ischemic stroke.

Lytic Eligibility Criteria (Eligibility based on Imaging and Lab results)

Decision support tool for use by physicians to evaluate the eligibility and relative risk of giving thrombolytics to patients suspected of having an acute ischemic stroke.

Management of Pre- and Post-Thrombolytic Blood Pressure

Decision support to assist physicians in the management of blood pressure following the administration of thrombolysis for acute stroke.

Management of Post-Thrombolysis Complications

Decision support tool to aid physicians in managing complications following the administration of thrombolytic therapies should they occur.

Stroke Assessment Tools

FAST-ED Score (EMS and ED)

For EMS and ED providers to screen for symptoms of large vessel occlusive stroke.

BE-FAST Score (Triage Nurse)

Triage Nurse evaluation of walk-in patients to screen for symptoms of stroke for faster identification and rapid assessment of these patients.

NIHSS (Stroke severity score)

Used to quantify deficits due to stroke and used to track changes in neurological deficits over time. Formal training in how to correctly perform an NIHSS is recommended for any provider using this score.

Stroke Readiness Hospital Self-Assessment

STAT Form

The MSA's Stroke Treatment Assessment Team has created this document to serve as a self-assessment tool for your hospital.  It inquires about all aspects of readiness from prehospital notification to admission or transfer of the patient.

Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. The Maine Stroke Alliance (MSA) makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

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MSA does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. MSA IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE.

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