January 12, 2021 Stroke – BE FAST As we know “TIME is BRAIN” so early recognition of stroke is vital so BE FAST! Thrombolysis is available 24/7 at CRH – Clear onset <4.5hrs Extended Thrombolysis is available Mon-Fri 08-16:30 at CRH (BH’s excluded) – Onset <9hrs (Extended Throbloysis ONLY – if wakes with symptoms mid-point of sleep is taken as onset time) HRI Stroke Pathway If requires ED assessment and Stroke is thought likely refer to Stroke team tel:153432 CRH In-Hours Stroke Pathway CRH Out-of-Hours Stroke Pathway If requires ED assessment and Stroke is thought likely refer to Stroke team tel:3432 Other useful stuff Not all “Vertigo in ED” is stroke – here Carotid/Vertebral dissection – here Primary intracerebral bleed – here RCEM CPD 2019 (studies)- here Related