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  • Code Orange

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    This document outlines the CODE ORANGE protocol for suspected stroke patients presenting within 24 hours of symptom onset. It details the steps of announcing a CODE ORANGE, performing ABC care and rapidly shifting the patient to imaging (MRI or CT depending on stability). It lists the required labs and specifies timelines for alerting neurology, completing imaging, reviewing images, administering thrombolysis or mechanical thrombectomy, and transferring the patient to the stroke unit. The goal is to expedite evaluation and treatment to improve outcomes.

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    Code orange

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    f32544f8-b634-40d9-a990-7503a09d8057

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    This document outlines the CODE ORANGE protocol for suspected stroke patients presenting within 24 hours of symptom onset. It details the steps of announcing a CODE ORANGE, performing ABC care and rapidly shifting the patient to imaging (MRI or CT depending on stability). It lists the required labs and specifies timelines for alerting neurology, completing imaging, reviewing images, administering thrombolysis or mechanical thrombectomy, and transferring the patient to the stroke unit. The goal is to expedite evaluation and treatment to improve outcomes.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    1 views1 page

    Code Orange

    Uploaded by

    dr.vyshnavi111
    This document outlines the CODE ORANGE protocol for suspected stroke patients presenting within 24 hours of symptom onset. It details the steps of announcing a CODE ORANGE, performing ABC care and rapidly shifting the patient to imaging (MRI or CT depending on stability). It lists the required labs and specifies timelines for alerting neurology, completing imaging, reviewing images, administering thrombolysis or mechanical thrombectomy, and transferring the patient to the stroke unit. The goal is to expedite evaluation and treatment to improve outcomes.

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    CODE ORANGE

    Suspected Stroke ( Onset with in 24 Hrs )


    B E F A S T - Symptoms identification ( in ER / In HOUSE )

    Announce CODE ORANGE ( Keep the Neurologist in Loop)

    A-B-C Care
    From ER : Shift the Patient to Imaging
    In House Suspected Stroke - Shift to ER - Then follow the same process
    (Patient Transfer to Imaging should not be delayed because of investigations in ER
    ( only GRBS Testing is allowed )

    If patient is Stable : MRI Brain Stroke Protocol

    If Irritable : Diffusion , FLAIR , ADC & CT- Angiogram

    Labs to be sent : Major Surgical + LFT + 2D echo + ECG

    Review of Imaging by Stroke Team ( ER/Neuro/Radiology )

    Definitive Management Plan : Thrombolytic Therapy / Mechanical Thrombectomy

    Disposition to Stroke UNIT

    TIME LINES

    Door to Code Alert : 10 Minutes


    Door to Imaging Completion : 25 Minutes
    Door to Imaging Review& Reporting : 45 Minutes
    Door to Needle ( Thrombolysis ) : 60 minutes
    Door to Groin Puncture ( Mechanical Thrombectomy ) : 90 Minutes
    Door to Stroke Unit : 180 Minutes ( 3 Hours )

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