Code Stroke

CODE STROKE

Team Members:

Neurology Start Date/Time:

Neurology End Date/Time:

Last Seen Well Date/Time:

CT First slice:

TPA:

  • TPA Bolus Time:
  • TPA Bolus dose:
  • TPA Infusion dose:

Puncture time:

First Recanalization time:

First Recanalization TICI:

Final Recanalization time:

Final Recanalization TICI:


Patient Profile:


Past Medical History:


History of Presenting Illness:


Social History and Functional Baseline:


Physical Examination

General exam:

Neurologic exam:

Laboratory Investigations:


Imaging:

ASPECTS SCORE =


Impression:


PLAN:

1)Stroke

Suspected Etiology:

Treatment:

TPA/EVT Inclusions and Exclusions Considerations and Details:

Workup Pending: Lipid Panel, A1C, ECHO, Holter, Outstanding repeat Imaging

Disposition:

Driving:

2) Medical & Critical Care Issues:

Disposition service (Medicine/ICU); other medical issues:

3) Family/SDM Update and Discussions: