Ischemic Stroke – Acute
From Guide to YKHC Medical Practices
Generally speaking, all acute CVA patients should be transferred from ER to ANMC for full stroke workup and better access to consistent PT/OT/SLP.
Patients who decline transfer, particularly those without hemorrhage who have returned to neurologic baseline, could be monitored for 1-2 days at YKHC to monitor for worsening, screen for arrhythmia on telemetry, and work with our physical therapy colleagues. These patients should then be referred to ANMC neurology for MRI, echo, and carotid imaging (if not done in Bethel).
Resources/References
- Acute Ischemic Stroke YKHC Clinical Guideline
- Stroke RMT Guide
- Alaska Stroke Systems of Care (PowerPoint Presentation)
