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Go to nearest Was the patient known Was the patient known No stroke
NO NO
hospital to be normal 4 hours ago? to be normal 5 hours ago? call
YES YES
Go to nearest Independent premorbid No stroke
NO NO
hospital function† (not HLC NH)? call
YES YES
Neurological dysfunction
PRE HOSPITAL RACE score 5 or more? TRIAGE RACE score 1 or more? (beware of MIMICS*)
0 Symmetrical
Facial palsy “SHOW YOUR TEETH” 1 Slight asymmetry
2 Completely asymmetrical
CODE 55 STROKE CALL (SJA triggered) CODE 55 STROKE CALL (ED triggered)
Provide ETA Prioritize RESUS cubicle / expedite CT
Search iCM for discharge summaries IV Cannula
FBC, UE, INR (if on Warfarin)
On arrival to ED consider stroke mimics* ED manage BP, temp, O2, BSL
Accompany patient to CT on SJA trolley
Pathway created by Alley / Ercleve / Blacker / NIISWA v1.3 April 2017