1. Acute Stroke Consult Guidelines
WHAT IS THE LAST KNOWN NORMAL? (LKN)
<8 hours since LKN
>8 hours or UKNOWN since LKN
Send pt to CT STAT
Call MUSC Telestroke
? t-PA Candidate ?
Send to CT
CT Normal
Scan looks GOOD
Pt looks BAD
CT Normal
Scan looks GOOD
Pt looks GOOD
CT with INFARCTS
Scan looks BAD
Pt looks BAD
Call MUSC Telestroke for possible Thrombectomy & arrange immediate transport
Admit locally; follow stroke guidelines and/or schedule a Post Stroke/Neurology Consult
Admit locally; follow stroke guidelines or call MUSC Stroke for transfer
LKN ≠ Time Found
Good Pt = min. deficit, NIHSS <5
Bad Pt = bad deficit, aphasic or NIHSS >5
Good Scan = no infarct
Bad Scan = visible infarct

2. Scheduled Stroke Follow-Up Consults
Post Stroke Follow-Up
Scheduled Stroke Follow-Up Consults
Has the patient had their Post Stroke Tests & Imaging?
(Labs, Echo, MRI/CTA, etc…)
Obtain
Test & Imaging
Upload images for viewing No
Yes
Upload images for viewing
Schedule
Consult
Schedule
Consult
Appt. Time
Appt. Time