Acute Stroke

These documents can be of use in the running of an acute stroke unit and in setting up a thrombolysis service.

Stroke Pathway including SSNAP entry forms A clinical pathway with triage for thrombolysis and clerking document for direct admission of stroke patients from A&E to the stroke

Stoke Proformas UHNM Oct 2024 1. SEAT (inital assessment) 2. Admission 3. Post-TAKE WR

Thrombolysis Pathway to guide and record thrombolysis treatment updated 14 April 2023

Thrombolysis Nurse Care Pathway for monitoring and further management.

Emergency Management of Complications of Thrombolysis

Thrombectomy Pathway

Decompressive Hemicraniectomy

ICH Pathway with guidance for management of blood pressure and bleeding disorders

Blue StokeThrombectomy log and data collection booklet

MRI safety procedures  in patients unable to answer safety questions

TIA

TIA Referral form

TIA//minor Stroke Clinic patient information leaflet

Controversies: Difficult cases and management decisions not fully covered by current guidelines

Controversies March 2023 Cases 1-6 and literature UHNM Stroke consultants Consensus 1-6 March 2023

  1. When to start antiplatelets in patients with haemorrhagic transformation
  2. Uncertainties in thrombolysys
  3. How long after stroke onset can thrombectomy still be done?
  4. Secondary preventin after carotid dissection
  5. Management of tandem carotid occusion
  6. Management of patients with free floating thrombus

Controversies May 2023 Stenting for intracranial large artery stenosis