Neurologic findings are determined by specific area affected
Onset may be sudden and complete, or stuttering and intermittent
Time of onset (or time last seen at baseline)
Focal neurologic deficits
Patients may have difficulty moving or communicating after cerebral vascular accident
Neurologic exam in field is helpful:
Should include assessment of consciousness level, Glasgow...
Patients with acute cerebral vascular accident should be admitted to hospital
Indications for ICU:
Severely decreased level of consciousness
Always note pre-hospital observations
Onset of symptoms is crucial to determining treatment with tPA
Include additional exclusion criteria between 3 and 4.5 hr
Avoid aggressive BP cor...
Clinical Policy: Use of intravenous tPA for the management of acute ischemic stroke in the emergency department. Ann Emerg Med. 2013;61:225–243.
Freundlich CL, Cervantes-Arsla...
434.01 Cerebral thrombosis with cerebral infarction
434.11 Cerebral embolism with cerebral infarction
434.91 Cerebral artery occlusion, unspecified with cerebral infarction
431 Intracerebral he...
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