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Confirm airway
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obtain CT scan to check for hemorrhage. Goal is door to CT 10 minutes
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If CT reveals Hemorrhagic stroke consult Neurosurgery. Patient will not be a candidate for TPA.
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Allow Neurology resident to complete in depth stroke assessment
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Obtain IV access right AC if you can
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If CT negative for hemorrhage and in window prepare and administer TPA. Goal is door to TPA 30 minutes
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To be completed Q15 for two hours, Q30 for 6 hours, Q1 for 16 hours.