Suspected Stroke Transient Ischemic Attack TIA - Revision history

Treloars at 22:00, 13 May 2025

2025-05-13T22:00:19Z

← Older revision		Revision as of 22:00, 13 May 2025
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	\|}		\|}



	~~=====COMPREHENSIVE STROKE DESTINATIONS=====~~
	{\| class="wikitable"		{\| class="wikitable"
	\|Advent Health Orlando		\|Advent Health Orlando

2025-05-13T21:59:50Z

PRIMARY STROKE DESTINATIONS

@@ Line 141: / Line 141: @@
 |HCA Lake Monroe
 |Comprehensive Stroke Care
 |}

2025-05-13T21:58:51Z

← Older revision	Revision as of 21:58, 13 May 2025
(No difference)

2025-05-12T15:08:59Z

COMPREHENSIVE STROKE DESTINATIONS

← Older revision		Revision as of 15:08, 12 May 2025
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	=====COMPREHENSIVE STROKE DESTINATIONS=====		=====COMPREHENSIVE STROKE DESTINATIONS=====
	*Evaluation of suspected Large Vessel Occlusion (LVO) -or-
	*Suspected Cerebellar infarct with posterior circulation LVO symptoms, including acute dizziness/balance findings or acute visual changes (blurred, limited or double vision)
	*Have contraindications for IV therapy such as Coumadin therapy, recent surgery, treatment of bleeding ulcer, etc.
	{\| class="wikitable"		{\| class="wikitable"
	\|Advent Health Orlando		\|Advent Health Orlando
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	\|Comprehensive Stroke Care		\|Comprehensive Stroke Care
	\|}		\|}

	~~===== Hospitals meeting Comprehensive '''Stroke Care Capability and able to manage Large Vessel Occlusion (LVO) and Suspected Cerebellar infarct care:''' =====~~


	=====PRIMARY STROKE DESTINATIONS=====		=====PRIMARY STROKE DESTINATIONS=====

2025-05-12T15:07:11Z

PRIMARY STROKE DESTINATIONS

← Older revision		Revision as of 15:07, 12 May 2025
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	\|Primary Stroke Care		\|Primary Stroke Care
	\|-		\|-
	\|~~South Seminole Community Hospital~~		\|Orlando Health Lake Mary
	\|Primary Stroke Care		\|Primary Stroke Care
	\|-		\|-

2025-05-12T15:05:47Z

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 |+DESTINATION SELECTION
 |-
-|colspan="2"|All suspected stroke and TIA patients must be transported to a stroke-receiving facility, unless the patient is UNSTABLE.
+|colspan="2"|All suspected stroke and TIA patients must be transported to a COMPREHENSIVE stroke-receiving facility..
 |}

2024-05-01T18:36:42Z

← Older revision		Revision as of 18:36, 1 May 2024
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	\|Orlando Regional Medical Center		\|Orlando Regional Medical Center
	\|Comprehensive Stroke Care		\|Comprehensive Stroke Care
			\|-
			\|HCA Lake Monroe
			\|Comprehensive Stroke Care
	\|}		\|}

	===== Hospitals meeting Comprehensive '''Stroke Care Capability and able to manage Large Vessel Occlusion (LVO) and Suspected Cerebellar infarct care:''' =====		===== Hospitals meeting Comprehensive '''Stroke Care Capability and able to manage Large Vessel Occlusion (LVO) and Suspected Cerebellar infarct care:''' =====
	~~{\| class="wikitable"~~
	~~\|HCA Lake Monroe~~
	\|}

	=====PRIMARY STROKE DESTINATIONS=====		=====PRIMARY STROKE DESTINATIONS=====
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	\|-		\|-
	\|HCA Lake Monroe		\|HCA Lake Monroe
	\|Comprehensive Stroke Care ~~Capable~~		\|Comprehensive Stroke Care
	\|-		\|-
	\|Orlando Regional Medical Center		\|Orlando Regional Medical Center

2023-09-28T17:08:12Z

PRIMARY STROKE DESTINATIONS

← Older revision		Revision as of 17:08, 28 September 2023
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	\|-		\|-
	\|HCA Lake Monroe		\|HCA Lake Monroe
	\|~~Primary~~ Stroke Care		\|Comprehensive Stroke Care Capable
	\|-		\|-
	\|Orlando Regional Medical Center		\|Orlando Regional Medical Center

2023-09-28T15:58:18Z

Cleaned up language

← Older revision		Revision as of 15:58, 28 September 2023
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	\|-		\|-
	\|VAN Positive		\|VAN Positive
			\|COMPREHENSIVE STROKE CENTER
			\|-
			\|Suspected Cerebellar infarct with posterior circulation LVO symptoms
	\|COMPREHENSIVE STROKE CENTER		\|COMPREHENSIVE STROKE CENTER
	\|-		\|-
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	=====COMPREHENSIVE STROKE DESTINATIONS=====		=====COMPREHENSIVE STROKE DESTINATIONS=====
	*Evaluation of suspected Large Vessel Occlusion (LVO) -or-		*Evaluation of suspected Large Vessel Occlusion (LVO) -or-
			*Suspected Cerebellar infarct with posterior circulation LVO symptoms, including acute dizziness/balance findings or acute visual changes (blurred, limited or double vision)
	*Have contraindications for IV therapy such as Coumadin therapy, recent surgery, treatment of bleeding ulcer, etc.		*Have contraindications for IV therapy such as Coumadin therapy, recent surgery, treatment of bleeding ulcer, etc.
	{\| class="wikitable"		{\| class="wikitable"
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	\|}		\|}

	=====~~It the paramedic determines that a patient is likely~~ to ~~have a large vessel occlusion~~ and ~~is relatively unstable, the paramedic may transport the patient to the nearest hospital with the capability of providing definitive treatment for large vessel occlusion.~~=====		===== Hospitals meeting Comprehensive '''Stroke Care Capability and able to manage Large Vessel Occlusion (LVO) and Suspected Cerebellar infarct care:''' =====
	{\| class="wikitable"		{\| class="wikitable"
	\|HCA Lake Monroe		\|HCA Lake Monroe

2023-04-13T18:32:02Z

← Older revision		Revision as of 18:32, 13 April 2023
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	==Section 5 -MEDICAL==		==Section 5 -MEDICAL==
	===5.04 SUSPECTED STROKE/~~TRANSCIENT~~ ISCHEMIC ATTACK (T.I.A.)===		===5.04 SUSPECTED STROKE/TRANSIENT ISCHEMIC ATTACK (T.I.A.)===

	==== PRINCIPLES ====		==== PRINCIPLES ====
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	**[[Sepsis_Septic_Shock\|SEPSIS]] 5.17		**[[Sepsis_Septic_Shock\|SEPSIS]] 5.17
	*Establish a definitive last known well (LKW) time		*Establish a definitive last known well (LKW) time
	*Complete a ~~Cincinnati~~ Pre-Hospital Stroke Exam		*Complete a BE-FAST Pre-Hospital Stroke Exam


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	<span style="color: deeppink;">'''ARM DRIFT PLUS ONE OF THE ABOVE IS VAN POSITIVE'''</span>		<span style="color: deeppink;">'''ARM DRIFT PLUS ONE OF THE ABOVE IS VAN POSITIVE'''</span>

	<span style="color: deeppink;">~~Cincinnati~~ and VAN assessments often are performed simultaneously</span>		<span style="color: deeppink;">BE-FAST and VAN assessments often are performed simultaneously</span>

	====TRANSPORT DESTINATION <span style="color: deeppink;">(Determined ONLY by VAN Assessment Results)</span>====		====TRANSPORT DESTINATION <span style="color: deeppink;">(Determined ONLY by VAN Assessment Results)</span>====