Stroke

On Scene and En Route Care of Stroke Patients

En Route Goals

Ensuring adequate airway, ventilation, oxygenation and supporting circulation are critically important.  The initial assessment should be directed at optimizing these areas.

Guidelines for en route care

  • Rapid transport to the closest stroke-ready facility.
  • Follow established guidelines for bypassing hospitals without stroke care resources.
  • Contact the receiving hospital prior to arrival.
  • Measure and record glucose level.
  • Assess and record blood pressure.
  • Establish IV access based on level of training and protocols.
  • Initiate cardiac monitoring. [69]