Stroke (CVA) - Revision history

JenniferH at 12:49, 20 November 2020

2020-11-20T12:49:13Z

← Older revision		Revision as of 12:49, 20 November 2020
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	Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.		Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.


			[[Emergency RMT Scenarios and Responses]]

JenniferH at 00:59, 29 March 2020

2020-03-29T00:59:47Z

← Older revision		Revision as of 00:59, 29 March 2020
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	[[media:pediatric critical care guide.pdf\|Pediatric Critical Care Guide]]		[[media:pediatric critical care guide.pdf\|Pediatric Critical Care Guide]]
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	[[~~Ischemic~~ Stroke ~~– Acute~~\|See Ischemic-Stroke - Acute YKHC Clinical Guideline]] and [[Hospitalist Workflow and Priorities#Common Adult Admissions\|Inpatient/Common Adult]] Admissions/Cerebrovascular Accident (CVA) (do we have guidelines for suspected stroke in the village? These would be really helpful because this comes up a lot)		[[media:Stroke.pdf\|See Ischemic-Stroke - Acute YKHC Clinical Guideline]] and [[Hospitalist Workflow and Priorities#Common Adult Admissions\|Inpatient/Common Adult]] Admissions/Cerebrovascular Accident (CVA) (do we have guidelines for suspected stroke in the village? These would be really helpful because this comes up a lot)

	Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.		Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.

JenniferH at 01:10, 31 August 2019

2019-08-31T01:10:33Z

← Older revision		Revision as of 01:10, 31 August 2019
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			[[image:All Emergency RMT.png\|750px]]

			[[media:pediatric critical care guide.pdf\|Pediatric Critical Care Guide]]
			-----
	[[Ischemic Stroke – Acute\|See Ischemic-Stroke - Acute YKHC Clinical Guideline]] and [[Hospitalist Workflow and Priorities#Common Adult Admissions\|Inpatient/Common Adult]] Admissions/Cerebrovascular Accident (CVA) (do we have guidelines for suspected stroke in the village? These would be really helpful because this comes up a lot)		[[Ischemic Stroke – Acute\|See Ischemic-Stroke - Acute YKHC Clinical Guideline]] and [[Hospitalist Workflow and Priorities#Common Adult Admissions\|Inpatient/Common Adult]] Admissions/Cerebrovascular Accident (CVA) (do we have guidelines for suspected stroke in the village? These would be really helpful because this comes up a lot)

	Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.		Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.

JenniferH: Created page with "See Ischemic-Stroke - Acute YKHC Clinical Guideline and Inpatient/Common Adult Ad..."

2019-08-26T01:28:34Z

Created page with "See Ischemic-Stroke - Acute YKHC Clinical Guideline and Inpatient/Common Adult Ad..."

New page

[[Ischemic Stroke – Acute|See Ischemic-Stroke - Acute YKHC Clinical Guideline]] and [[Hospitalist Workflow and Priorities#Common Adult Admissions|Inpatient/Common Adult]] Admissions/Cerebrovascular Accident (CVA) (do we have guidelines for suspected stroke in the village? These would be really helpful because this comes up a lot)

Consider an urgent medevac if a patient with acute stroke symptoms presents to a village clinic where there might be enough time from onset of symptoms to completion of a Head CT in the ER in Bethel to be within the 4.5 (or 3) hour limit to consider thrombolytics following evaluation with risk assessment. Otherwise commercial transport with an escort to the ER might be a more appropriate option in an otherwise stable patient with neurologic deficiency consistent with an acute or subacute process. While awaiting transport in the village clinic, supplemental O2 and IV fluids may be appropriate but not aspirin until a hemorrhagic process in the brain can be ruled out in the ER.