HEMISPHERE IV-RAPID STROKE
RESPONSE EXAM QUESTIONS AND
ANSWERS | CERTFIED
/. EMS goal on scene
15 minutes
/.Oxygen saturation in stroke
>94%
/.Onset of symptoms to thrombolytics time
4.5 hours
/.Onset of symptoms to thrombectomy time
24 hours
/.Stroke Center designations
Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
/.Door to door transfer time
<= 60 min hospital to hospital transfer
/.associated symptoms of stroke
*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
, /.Overlooked symptoms of stroke
dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
/.Door to doctor time
ASAP - 10 min
/.BP parameters
do not treat elevated BP unless concurrent myocardial infarction, heart failure, aortic
dissection, or confirmed hemorrhagic stroke
/.Door to stroke team time (neuro expertise)
ASAP – 15
/.Prior to thrombolytic
Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
/.When to repeat CT in Hosp to hosp transfers
>60 minutes since last CT
/.Baseline labs
CBC, electrolytes, Renal function creatinine, troponin and ecg to evaluate MI and
arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
/Airway management
Swallow screen should be performed on all stroke patients
npo until complete
/.How long is BP elevated after stroke
24-48 hrs
RESPONSE EXAM QUESTIONS AND
ANSWERS | CERTFIED
/. EMS goal on scene
15 minutes
/.Oxygen saturation in stroke
>94%
/.Onset of symptoms to thrombolytics time
4.5 hours
/.Onset of symptoms to thrombectomy time
24 hours
/.Stroke Center designations
Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
/.Door to door transfer time
<= 60 min hospital to hospital transfer
/.associated symptoms of stroke
*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
stiff neck
Photophobia
Coma and decreased level of consciousness
, /.Overlooked symptoms of stroke
dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
/.Door to doctor time
ASAP - 10 min
/.BP parameters
do not treat elevated BP unless concurrent myocardial infarction, heart failure, aortic
dissection, or confirmed hemorrhagic stroke
/.Door to stroke team time (neuro expertise)
ASAP – 15
/.Prior to thrombolytic
Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
/.When to repeat CT in Hosp to hosp transfers
>60 minutes since last CT
/.Baseline labs
CBC, electrolytes, Renal function creatinine, troponin and ecg to evaluate MI and
arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
/Airway management
Swallow screen should be performed on all stroke patients
npo until complete
/.How long is BP elevated after stroke
24-48 hrs
