Inclusion: Adult patients presenting to ED with acute ischemic stroke
Exclusion: Children < 18 years
Level A:
None.
Level B:
Offer IV tPA to acute ischemic stroke patients who meet NINDS inclusion/exclusion criteria and can be treated within 3 hours after symptom onset.  Consider increased risk of symptomatic intracranial hemorrhage in decision to administer tPA.  (May consider administration in carefully selected patients presenting within 3-4.5 hours of symptom onset.)
None.
Offer IV tPA to acute ischemic stroke patients who meet NINDS inclusion/exclusion criteria and can be treated within 3 hours after symptom onset.  Consider increased risk of symptomatic intracranial hemorrhage in decision to administer tPA.  (May consider administration in carefully selected patients presenting within 3-4.5 hours of symptom onset.)
ACEP clinical policies
Sign out tools
Reexamination sample documentation
Mass casualty incident triage
STOPP/START criteria
Denver screening criteria
Critical care documentation
Clinical decision rules list