Page 1 of 17
HEMISPHERE IV-RAPID STROKE RESPONSE EXAM
NEWEST ALL QUESTIONS AND VERIFIED SOLUTIONS
2026-2027 LATEST UPDATE THIS YEAR
Hemisphere IV-Rapid Stroke response
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
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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
, Page 3 of 17
>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
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
HEMISPHERE IV-RAPID STROKE RESPONSE EXAM
NEWEST ALL QUESTIONS AND VERIFIED SOLUTIONS
2026-2027 LATEST UPDATE THIS YEAR
Hemisphere IV-Rapid Stroke response
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
,Page 2 of 17
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
, Page 3 of 17
>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
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
