Detection Detection of symptoms of a stroke and call 911.
Dispatch Rapid EMS dispatch.
Delivery Rapid EMS delivery of the patient by rapid EMS transport.
Door The “door” stands for the effective triage of the patient including assigning a room.
Data Collection of data. History and focused H&P.
Decision Decision regarding treatment. Use the fibrinolytic checklist for ischemic CVA to see if pt is a suitable candidate for a fibrinolytic.
Drug/Device Drug (IV rtPA – fibrinolytic therapy if indicated); thrombectomy if indicated.
Disposition Disposition means rapidly admitting the patient to a stroke unit or critical care unit.
  • “Time is brain”.
  • Control blood glucose level, temperature, and BP in stroke patients.
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