
Outcome
Jimmy has recovered well but his pathway was more complicated than necessary. This put added pressure on the ambulance service, the thrombectomy hub and on Jimmy and his family.
Key messages
- Stroke is a medical emergency, Time is Brain – call 999
- Paramedics will identify possible stroke using the FAST test, assess potential eligibility for hyperacute treatment and pre-alert the hospital
- On arrival at hospital, patients should have an immediate assessment to confirm the diagnosis, assess eligibility for hyperacute treatment and a brain scan
- An early brain scan is crucial to decision making but don’t waste the time waiting for the CT scan
- Review the scan immediately to make early decisions about treatment
- Patients with intracranial bleeding are not suitable for thrombolysis or thrombectomy
You have reached the end of this patient scenario. What do you want to do next?