Prior to making any medical decisions, please view our disclaimer.
This protocol was developed and approved by the multidisciplinary Acute Stroke Quality
Taskforce and outlines the major responsibilities for the urgent evaluation and treatment
of acute stroke patients who present to the ED.
Please refer to other
guidelines for the management of inpatients with acute stroke symptoms
Activate the Acute Stroke Protocol (group page ED2CT) for all patients who were Last Seen Well (LSW) less than 12
hours before ED arrival with acute neurological symptoms. In cases with fluctuating
symptoms, those with complex issues, or who may be candidates for acute clinical research, the
protocol should also be activated, independent of LSW time.
The following chart outlines the Time Targets mentioned in the Massachusetts Department of Public Health Primary Stroke Service (DPH PSS)
Regulations and recommended by the NIH NINDS Consensus Panel, [ref 1-5].
It is included to aid assessment of the timeliness of activities related to stroke evaluation and diagnosis.
The protocol is divided into the following sections:
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This video simulation of an Emergency stroke evaluation
illustrates the care of patients with acute stroke by the
MGH Acute Stroke team.
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