AHA ACLS Adult Suspected Stroke Algorithm

1 Important prehospital InterventionsAHA ACLS Adult Suspected Stroke AlgorithmID Stroke Signs and Symptoms ------Activate EMSJ effery Media Productions 2021 Important Interventions at Hospital ArrivalInterventions should occur within 10 minutes of Assessment & Stroke Team EvaluationInterventions should occur within 20 minutes of CT scan completed in 20 minutes and read within 45 minutesPossible Ischemic StrokeFibrinolytic Therapy Options/ExclusionsConsult Neurologist; Move to increased level of care. No Head BleedHead BleedGive r t PAwithin 60 minutesQualifies for Fibrinolytic TherapyYe sNoBegin Stroke or hemorrhage pathway of Stroke aspirinInitiate post-r t PAstroke to ICU or Stroke unit within 3 hours of prehospital InterventionsAHA ACLS Adult Suspected Stroke AlgorithmID Stroke Signs and Symptoms ------Activate EMSJ effery Media Productions 2021 Important Interventions at Hospital ArrivalInterventions should occur within 10 minutes of Assessment & Stroke Team EvaluationInterventions should occur within 20 minutes of CT scan completed in 20 minutes and read within 45 minutesPossible Ischemic StrokeFibrinolytic Therapy Options/ExclusionsIntracranial Hemorrhage ProtocolNo Head

2 BleedHead BleedGive r t PAwithin 60 minutesQualifies for Fibrinolytic TherapyYe sNoAdmit to a Stroke unit or neurological ICU or transfer to a higher level of careConsider (EVT) EndovascularThrombectomyQualifies for EVTI mmediate cathlab or transfer to EVT-capable centerAdmit to a neurological ICU.