Sandbox: Difference between revisions

Revision as of 18:24, 3 December 2013

Evaluation
Goal: Evaluation done within 60 mins of patient's arrival

Check vitals
ABCs
Rapid Hx - time of onset, time of arrival at the ED, medications (especially anticoagulants)
Rapid physical exam - neuro exam, NIHSS
Activate stroke team
Stat fingerstick
Labs
EKG, troponin, CXR
NPO
Obtain stroke protocol

Rule out DD
Seizure, syncope, migraine, hypoglycemia

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Non-contrast enhanced CT (or MRI) to r/o hemorrhage

Bleed positive

Hemorrhagic stroke

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+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | A01 |-|-|-|-|-|-| A02 | | | | | | | | | | | | | | | | | | | |A01=<u>Evaluation</u><br>'''Goal: Evaluation done within 60 mins of patient's arrival'''<br><br>Check vitals<br>ABCs<br>Rapid Hx - time of onset, time of arrival at the ED, medications (especially anticoagulants)<br>Rapid physical exam - neuro exam, '''NIHSS'''<br>Activate stroke team<br>'''Stat fingerstick'''<br>Labs<br>EKG, troponin, CXR<br>NPO<br>Obtain stroke protocol|A02=<u>Rule out DD</u><br>Seizure, syncope, migraine, hypoglycemia}}
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | |  }}
-{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | B01 |-|-|-| B02 |-|-| B03 | | | | | | | | | | | | | | | | | |B01=B01|B02=B02|B03=B03}}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | B01 |-|-|-| B02 |-|-| B03 | | | | | | | | | | | | | | | | | |B01=Non-contrast enhanced CT (or MRI) to r/o hemorrhage|B02=Bleed positive|B03='''Hemorrhagic stroke'''}}
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-{{familytree | | | | | | | | K01 |-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|^| | | | | | | | | | | | | | | | | | | | | |K01=K01}}
+{{familytree | | | | | | | | K01 |-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|'| | | | | | | | | | | | | | | | | | | | | |K01=K01}}
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
 {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | L01 | | | | | | | | | | | | | | | | | | | | | | | | | | | |L01=L01}}

Sandbox: Difference between revisions

Revision as of 18:24, 3 December 2013

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