Scribd Logo
Upload

Welcome to Scribd!

  • 59 views

    Code Stroke

    Uploaded by

    Divyesh Patel
    This document discusses the Code Stroke protocol at Tricolour Hospitals to rapidly treat stroke patients. The protocol involves initial evaluation of the patient within 10 minutes of arrival, activation of the stroke team by phone call within 15 minutes, urgent neuroimaging performed by an on-call radiologist, and interpretation to determine eligibility for thrombolysis while ruling out contraindications through a checklist. The goal is to overcome delays in response time to treat stroke as quickly as possible given the saying "time lost is brain lost."

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Code Stroke

    Uploaded by

    Divyesh Patel
    59 views19 pages
    This document discusses the Code Stroke protocol at Tricolour Hospitals to rapidly treat stroke patients. The protocol involves initial evaluation of the patient within 10 minutes of arrival, activation of the stroke team by phone call within 15 minutes, urgent neuroimaging performed by an on-call radiologist, and interpretation to determine eligibility for thrombolysis while ruling out contraindications through a checklist. The goal is to overcome delays in response time to treat stroke as quickly as possible given the saying "time lost is brain lost."

    Original Description:

    Original Title

    code stroke

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses the Code Stroke protocol at Tricolour Hospitals to rapidly treat stroke patients. The protocol involves initial evaluation of the patient within 10 minutes of arrival, activation of the stroke team by phone call within 15 minutes, urgent neuroimaging performed by an on-call radiologist, and interpretation to determine eligibility for thrombolysis while ruling out contraindications through a checklist. The goal is to overcome delays in response time to treat stroke as quickly as possible given the saying "time lost is brain lost."

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    59 views19 pages

    Code Stroke

    Uploaded by

    Divyesh Patel
    This document discusses the Code Stroke protocol at Tricolour Hospitals to rapidly treat stroke patients. The protocol involves initial evaluation of the patient within 10 minutes of arrival, activation of the stroke team by phone call within 15 minutes, urgent neuroimaging performed by an on-call radiologist, and interpretation to determine eligibility for thrombolysis while ruling out contraindications through a checklist. The goal is to overcome delays in response time to treat stroke as quickly as possible given the saying "time lost is brain lost."

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 19

    CODE STROKE

    Dr Divyesh Patel
    M.D., IDCCM, EDIC
    Consultant Intensivist
    Dept of Critical Care Medicine
    BRAIN ATTACK
    Time lost in Brain lost
    • Increase public
    awareness
    • Timely access to 108
    • Deployment of trained
    EMS personnel
    • Delivery to stroke
    centre
    • Stroke is treatable
    Why stroke code???

    A
    Quality Improvement Strategy
    to Overcome Knowledge-to-Action Gaps
    in Response Time
    Call
    0265-
    247 7777
    Code Stroke-Tricolour Hospitals
    • Initial evaluation
    • Stroke team intimation
    • Urgent neuroimaging
    • Interpretation of neuroimaging
    • Ruling out C/I of thrombolysis
    • Drug/Intervention
    Code Stroke-Tricolour Hospitals
    • Initial evaluation
    • Stroke team intimation (activation)
    • Urgent neuroimaging
    • Interpretation of neuroimaging
    • Ruling out C/I of thrombolysis
    • Drug/Intervention
    Initial evaluation
    • In ER/ICU

    • Attended by MD doctors (round the clock at Tricolour


    hospitals)

    • Symptoms criteria: FAST (BEFAST)

    • Time criteria present

    Activation of CODE STROKE


    Initial evaluation
    • Secure 2 large bore venous access

    • Labs: BSL, CBC, Blood urea, creatinine, electrolytes, PT (INR), aPTT

    • 12 lead ECG (should not hold patient from going to CT scan)

    • Neurological assessment and NIHSS assessment and documentation

    To be completed within 10 minutes of arrival to


    hospital
    Activation of code stroke

    Urgent
    Phone call (and whattsapp group message)
    neurologist, radiologist,
    interventional radiologist and intensivist

    Intimate radiology technician for neuroimaging


    Strokelab
    Intimate team to arrive within
    processing samples
    15 minutes of arrival of patient
    Intimate pharmacy for actilyse
    Code stroke
    Code Stroke-Tricolour Hospitals
    • Initial evaluation
    • Stroke team intimation
    • Urgent neuroimaging
    • Interpretation of neuroimaging
    • Ruling out C/I of thrombolysis
    • Drug/Intervention
    Neuroimaging: Tricolour hospitals
    CT scanner 1.5 T MRI

    In house radiologist on call 24 hours


    Code stroke
    Code Stroke-Tricolour Hospitals
    • Initial evaluation
    • Stroke team intimation
    • Urgent neuroimaging
    • Interpretation of neuroimaging
    • Ruling out C/I of thrombolysis (checklist)
    • Consent and Drug/Intervention
    Informed consent
    Code stroke
    Thank You

    You might also like