HIGH RISK – THROMBECTOMY WINDOW ACTIVE
00:32:00elapsed
Bryan Adams,
68 MCRITICALAcute Ischemic Stroke – Left M1 Segment Occlusion
IV thrombolysis completed
NIHSS
16
16++
Door-to-Needle at 20 min
GCS 8Airway RiskLast Known Well 07:00Resus 1
BP: 187/100HR 95Resus 1...
8-hour Risk Evolution
Time Entered: N/A
Low4-45 minModerate45-84
65-841-3h
3 month
65-841-3h
3 month
ICU Probability: <6%
REASSESS NOW
03:58:00
remainingEstimated Time Until Window
Closure:
Closure:
00:32:00
Time Since Last Known WellEscalation Status:
AIRWAY ALERT00:32
LowEstimated Time Until Window Closure: 03:58:00
Vitals & Assessment
60 min
319:614
BP: 187/100HR 95 (50-120)55-120bpm
SpO2 95% on oxygen therapy▶ 93% on room air
Contrast CT at 00:16
CTA Completed: left M11 occlusion at 00:20
IV thrombolysis started (20 min Door-to-Needle, 20 intl)
Contrast CT shows left M1 segment occlusion
CTA Completed: left M1 segment occlusion
IV thrombolysis started (20 min Door-to-Needle time: 0.9 mg/kg Alteplase initiated)
Dr. Ishanjit Sandhu
Emergency Physician
Reassess GCS in
12:34
GCS History(6 assessments)
SevereAvg 9
Range 8–10
Declining
07:45
GCS 9
RN08:00
GCS 9
IS08:15
GCS 8
RNTHROMBECTOMY TRANSFER PATHWAY
Suggested Actions:
AIRWAY RISK ALERT
Immediate airway assessment
Prepare for intubation
Senior clinician review required
Call Neurology at 00:13
Order Computed Tomography AngiographyCompleted
Arrange Ambulance Transfer
Alert Comprehensive Stroke CenterDepart at 00:16
Prepare for Handover
All actions completed
THROMBECTOMY TRANSFER PATHWAY
Primary center without intervention, nearest comprehensive center is 60 miles away. Estimated transfer 75 min by ambulance.
00:16Contrast CT shows left M1 segment occlusion
00:32CTA Completed: left M11 occlusion