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: