# data[].attributes.body
B = BALANCE Sudden trouble walking, dizziness, loss of balance or coordination.

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E = EYESIGHT sudden trouble seeing in one or both eyes

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F = FACIAL DROOP Sudden weakness or numbness of the face

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A = ARM DRIFT Sudden weakness or numbness of the arm/or leg, especially on one side of the body

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S = SPEECH Sudden confusion, trouble speaking or understanding

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T = TIME IS BRAIN! Call 33333 for Rapid Response/Code Stroke

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Check ABCS - Vital Signs

Determine LKW (Last Known Well)

POC Glucose

NIHSS or neuro check

Transport veteran to CT

Acquire pt weight

Administer O2 if Sats <94%

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Call 33333

Use ED Code Stroke Pathway

Contact Telestroke at 1-877-676-3455, (469)-627-4790, or 224-240-7890

Contact CT and transport to CT stat!

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Taking anticoagulant? If so, what? When was the last dose?

Recent surgery or procedure?

Recent severe bleeding?

History of any brain bleed?

Any other pertinent history?

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Appropriate BP management is essential for patient survival.

ALWAYS clarify BP goals with provider and KEEP BP within GOAL!

Check BP after every BP med and q15 while titrating drip.

Never drop BP by more than 25% in 1st hour.

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Intervention anticipated:

<185/110 to give thrombolytic

<180/105 post thrombolytic

<220/120 if no intervention

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Avoid hypotension! Generally do not drop <140-160 SBP

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Ask provider for goal

Goal range generally 140-160 SBP

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Thrombolytic should be given after CT of head

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Thrombolytic should be given after CT of head

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Manage BP

Weigh Pt (If not already done)

Calculate dose with 2nd nurse and neurologist

Provider to retrieve consent

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Clinical diagnosis of ischemic stroke with potentially disabling neurologic deficit

LKW established as <4.5 hours (270 minutes) before treatment can begin