Team Response Scenario: Katherine Archer

Which additional assessment should the team perform emergently if it will not delay brain imaging?

12-lead EKG

Within how many minutes of the patient's arrival at the emergency department should fibrinolytic therapy be initiated?

Arrival at ED: 45-60 minutes Since onset of symptoms: 3-4.5 hrs

At minimum, what initial actions should be performed within 10 minutes of Mrs. Archer's arrival at the emergency department?

Conduct a primary assessment (ensure ABCs) Perform neurological screening assessment Obtain a brain CT/MRI Obtain vitals Draw blood

Dr. Chu, the stroke team neurologist, has interpreted Mrs. Archer's brain CT scan and sees no evidence of hemorrhage. What intervention should the team consider next?

Fibrinolytic therapy

What is the time frame for ordering brain imaging?

Ordering: Within 10 minutes Results: Within 20 minutes Interpretation: Within 45 minutes

What additional actions should Dr. Chu take before initiating fibrinolytic therapy for Mrs. Archer?

Review medical history for contraindications Confirm time of symptom onset