Stroke Ward Guidelines

Stroke Ward Admission Guidelines

2021 - (revised) Stroke Admission Guidelines:

1) Acute Stroke consults within 24H of symptom onset - first consult Stroke Neurology (this is best practice to ensure we don’t miss a Large Vessel Occlusion)

2) Subacute Stroke consults, (greater than) > 24H since symptom onset - go to Stroke Neurology IF any of the following are TRUE:

- imaging positive explaining the symptoms

- imaging negative but the patient has a clear stroke syndrome/deficit on exam as supported by history (e.g. early lacunar stroke may be negative on imaging but the patient has a clear stroke syndrome, e.g. face+arm+leg weakness)

Other Scenarios/Query Subacute Stroke consults - where imaging negative or who don’t have a clear stroke syndrome, go to Internal Medicine. When/if stroke is confirmed, stroke will accept and transfer care, to the stroke unit for comprehensive allied health care. Only exceptions include patients who need higher levels of care (level 1,2,3 ICUs), or if there is a more urgent/precedent primary medical issue.