Stroke Code Flow
This can be obtained via ambi radio prior to patient arrival
What is Medical Record number and Patient's name?
Max Dose of TNK
What is 25 mg?
This common metabolic emergency can mimic unilateral weakness, slurred speech, and altered mental status
What is hypoglycemia?
Imaging study is first used to rule out hemorrhagic stroke
What is CT?
An organ primarily affected by an ischemic stroke
What is brain?
Two Types of Stroke Alerts used in ED
What is Initial Stroke Alert and Extended Stroke Alert?
Blood pressure parameters for safe TNK administration
What is 185/110?
This action helps prevent aspiration in stroke patients
What is swallow screen?
The two main types of hemorrhagic stroke are intracerebral and this one
What is subarachnoid hemorrhage?
A Heart rhythm disorder greatly increases the risk of an ischemic stroke
What is Atrial Fibrillation?
This is how NIR knows they have a patient coming from ED
What is EST page?
The IV beta-blocker is commonly given to quickly lower blood pressure during an acute stroke?
What is Labetolol?
Sudden dizziness, unsteady gait and nausea may indicate this type of stroke
What is posterior circulation stroke?
This is the most common cause of spontaneous intracerebral hemorrhage
What is hypertension?
Term describes brain tissue at risk but still salvageable
What is penumbra?
Door to NIR goal
What is 65 minutes?
This IV medication allows tight BP control without reducing cerebral perfusion
What is Nicardipine?
This NIHSS item helps differentiate cerebellar involvement from pure weakness, but can only be scored if the patient has no significant motor deficits in the tested limb.
What is Limb Ataxia?
In acute intracerebral hemorrhage, this is recommended systolic blood‑pressure parameters aims to reduce hematoma expansion
What is 140-160 mm/Hg?
An NIHSS score greater than 6 often raises concern for this type of stroke, prompting rapid preparation for possible thrombectomy.
What is a large vessel occlusion (LVO)?
Large vessel occlusion often qualifies for mechanical thrombectomy
What is Internal Carotid Artery or MCA occlusion?
In acute ischemic stroke patients not receiving thrombolytics, permissive hypertension parameters to maintain cerebral perfusion
What is BP up to 220/120 mmHg?
Patients often present post‑ictal with confusion, gaze deviation, or unilateral weakness lasting minutes to hours, a condition known as this
What is Todd’s paralysis?
The vascular abnormality often causes subarachnoid hemorrhage when it ruptures
What is a cerebral aneurysm?
Collateral circulation structure helps maintain cerebral blood flow
What is Circle of Willis?