Acute Stroke Pathway
Time-critical pathway from EMS call to thrombolysis / thrombectomy decision.
Rendering…
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flowchart TD
EMS[EMS contact] --> ED[ED arrival]
ED --> Tri[FAST / NIHSS triage]
Tri --> CT[Non-contrast CT < 25 min]
CT --> Bleed{ICH on CT?}
Bleed -- yes --> Neurosurg[Neurosurgery / BP control]
Bleed -- no --> Win{Within 4.5 h of onset?}
Win -- yes --> tPA[IV alteplase / tenecteplase]
Win -- no --> Vessel[CT angiogram]
tPA --> Vessel
Vessel --> LVO{Large vessel occlusion?}
LVO -- yes --> Thr["Mechanical thrombectomy<br/>(within 24 h selected)"]
LVO -- no --> Adm[Stroke unit admission]
Thr --> Adm