Stroke Thrombolysis CUH
Rosier scale
Yes |
No |
||
Any loss of consciousness or syncope |
-1 |
0 |
|
Has there been seizure activity |
-1 |
0 |
|
Is there a new onset (or waking from sleep)? |
|||
i |
Asymmetric facial weakness |
+1 |
0 |
ii |
Asymmetric arm weakness |
+1 |
0 |
iii |
Asymmetric leg weakness |
+1 |
0 |
iv |
Speech disturbance |
+1 |
0 |
v |
Visual field defect |
+1 |
0 |
Stroke is likely if total score > 0
Agreed
pathways for Stroke thrombolysis in CUH
Neurology and Geriatric Medicine will take responsibility for stroke thrombolysis cases presenting to CUH jointly, depending on age.
The mobile phone VPN’s for stroke thrombolysis during daytime hours are:
(i) Patients aged under 65: 62191 (Neurology Reg)
(ii) Patients aged 65 & over: 61976 (Geriatrics Reg on consults duty)
For out-of-hours thrombolysis, the Medical Registrar covering the emergency department is the appropriate person to contact.
On Wednesdays, MUH is on call for neurology; if a stroke patient under 65 presents to CUH on a Wednesday, the Neurology team here in CUH should be contacted rather than transferring the patient to MUH for consideration for thrombolysis there.
Guidelines for stroke Thrombolysis CUH
